Professional Documents
Culture Documents
Service Manual
March 2010
Call weekdays from 8:15 a.m.-5:00 p.m., USA - Eastern Standard Time (GMT -6) for assistance: Technical
Support & Customer Service, +1 315-453-4553. Parts & Order Services, +1 315-453-4545.
InfiMed’s answering service is open from 5:00 p.m.-8:15 a.m. (Eastern Standard Time, GMT -6) and on
weekends and holidays. A Customer Service Technician will respond to your inquiry as soon as possible.
Please have the following information ready before making your service call: System Serial Number (S/N),
found on the identification tag on the rear of the PC, and software version. To find the software version,
click on the InfiMed logo (top of Main Menu in Clinical Mode) for the About screen, or look for the Versions
button toward the bottom of the Service Mode menu.
The InfiMed i5™ Digital X-ray Imaging System is a high resolution digital imaging system intended to replace conventional
film techniques, or existing digital systems, in multipurpose or dedicated applications specified below. The i5™ Digital X-ray
Imaging System enables an operator to acquire, display, process, export images to portable media, send images over a
network for long term storage and distribute hardcopy images with a laser printer. Image processing algorithms enable the
operator to bring out diagnostic details difficult to see using conventional imaging techniques. Images can be stored locally
for temporary storage. The i5™ Digital X-ray Imaging System has the ability to interface with a variety of image receptors
from CCD cameras to commercially available flat panel detectors. The major system components include an image recep-
tor, computer, monitor and imaging software.
For the DR application, the InfiMed ii5™ Digital X-ray Imaging System is intended for use in general radiographic examina-
tions and applications (excluding fluoroscopy, angiography, and mammography).
InfiMed’s i5 Platform for DR product is also referenced as i5 in this document. Document part #
721-202-G1, Rev. A, companion document 721-201-G1. Document status: i5 Platform for DR - Ini-
tial release. ECN: 4950. Software version: 1.2.3730.5276.
i5 Platform for DR
Service Manual
© 2010 InfiMed Inc. All Rights Reserved. InfiMed Service Manual, part number 721-202-G1, Rev. A
InfiMed hereby grants its customers the right to reproduce this manual. For electronic files, contact InfiMed
Technical Publications at +1 315-453-4545 x232.
Revision History
Revision Date ECN Software reference Description of release & change pages
A March 2010 4950 1.2.3730.5276 i5 Platform for DR, i5 Platform for DR - Initial release
InfiMed, i5, iCynergy, and InfiVision are trademarks of InfiMed, Inc. Windows, Windows XP, and Windows 7
are trademarks of Microsoft Corp. Carestream Health Detector is a brand name of Carestream Health, Inc.
While every precaution has been taken in the preparation of this book, InfiMed assumes no responsibility
for errors or omissions or for damage resulting from the use of the information contained herein. The infor-
mation in this manual is subject to change without notice.
This product conforms to the necessary IEC standards for patient safety and isolation as it is shipped from
the factory. It is the responsibility of the end user and/or the installer to insure that when connected, as a
system with other devices, all the rules of IEC60601-1-1 are met.
HIPAA logging: i5 Platform for DR supports HIPAA Access Control Standards. Unique user identification and
automatic logoff are implemented through user configuration and the login/logoff features of the Clinical
mode. HIPAA Audit Control Standards are used in the Service Mode logs to record user actions.
3/31/10
i5 Platform, with i5, adapts to the needs of the user. Its menu interface may be customized, and it
supports multiple wired or wireless flat panel detectors. i5 defines convenience. InfiMed's open
platform allows the technologist to adapt on the fly to changes in the industry and to clinical
requirements.
InfiMed's i5 Platform
InfiMed's i5 Platform is specifically designed for routine radiographic exposures where the image is cap-
tured on a digital sensor and stored as an electronic patient file in the computer. Acquired images are
instantly viewable; so, there is no need to wait for film development. i5 Platform presents an intuitive touch
screen. It supports cutting-edge flat panel detectors and offers integration with x-ray generators.
i5's user-friendly interface is tailored to exceed the needs and requirements of today's busy work environ-
ment. It standardizes and minimizes the steps required from image acquisition to optimal viewing.
User customizable acquisition profiles and work procedures can optimize patient throughput and image
quality. With the use of advanced image processing algorithms, premium image quality is realized on the
first view. Patient through-put is enhanced while minimizing user intervention by reducing or eliminating the
need for retakes.
With the ability to support multiple flat panel detectors, i5 provides commonality for digital radiography. In
addition, i5's compatible panels fit most existing cartridge-based Bucky trays or chest units in radiographic
rooms. This gives many clinics the economical option to upgrade almost any film-based system to a digital-
based system.
This manual gives the InfiMed-trained and -authorized Service Technician instructions to set up the hard-
ware and to configure the software for use of i5. It also discusses the x-ray generator interface and flat
panel detector and connection to a DICOM network server. Therefore, the Service Technician should also
refer to the generator’s manual and the panel’s documentation during installation. Most of the technician's
work takes place in the Service Mode of i5, but this work affects nearly every aspect of how technologists
will use i5 Clinical Mode.
Welcome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii
Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v
Figures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix
Tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii
Warranty. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3
Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
Electromagnetic compatibility. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
Preventive maintenance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
PC tower . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Pointing devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Power requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Component placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Generator interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Assemble & install Bucky . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
Connect i5 to panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Configuration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Initial test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Preventive maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Component placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Generator interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Configuration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Preventive maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Component placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
Generator interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Configuration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94
Preventive maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
Positions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .118
Automatic image enhancement — AIE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .120
Work procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .122
Detector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .130
Data collection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .130
Generator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .130
Raw image storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .131
Serial ports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .132
Warranty
U.S. law restricts this device to sale by or on order of a physician for diagnostic digital radiographic use
only. Any of the following actions voids the manufacturer's warranty1:
• Modification, abuse, misuse, neglect, or operation at ambient temperatures below 50ºF or above
90ºF (10ºC, 32Cº) or at other abnormal conditions. Ambient operating temperature for the isolation
transformer is 64-86ºF (18-30ºC). See also Table 1 on page 6.
• Use of any software not supplied by seller
• Use of supplied software and hardware outside seller's guidelines or applicable standards
• Unauthorized repair or alteration.
Upon receipt of your shipment from InfiMed, inspect packaging and components. If anything appears to be
damaged, contact InfiMed immediately. Do not proceed if any components or cables are missing or dam-
aged.
Equipment classification
1. InfiMed, Inc. Terms and Conditions of Sale. Part No. 200.267.G1. Sept. 5, 2006.
Safety
Apply the directions here precisely to avoid damage to the System or any of its components, yourself, or
others, loss of data, or corruption of files. The manufacturer assumes no liability for failure to comply.
Cautions2
Mechanical. Use care to see that the image monitor is stable and cannot fall. Use mounting
brackets if necessary (MH2).
To maintain adequate signals and power among the hardware components, use securing mecha-
nisms to fasten cables and connectors (MH6, MH7).
See that cables used in and associated equipment cannot create trip or fall hazards (MH8).
Install the electronic components on secure and stable surfaces to prevent shifting and falling, to
protect the equipment from damage, and to protect users of the equipment (MH9).
Electrical. Use the equipment in a space that is properly ventilated. Provide sufficient free space around
the components to permit their ventilation. Some electrical components, if operated beyond the
stated temperature range may emit toxic fumes. Do not permit components to overheat (EH7).
Isolation transformer: To reduce the risk of electrical shock, do not remove cover. Refer servicing
to qualified personnel. The isolation transformer must be properly grounded. Use the external
ground screw head stud. Grounding reliability can only be achieved when connected to a recepta-
cle known to be equivalent to hospital grade. The outlets on the isolation transformer output 120 V
AC, 50/60 Hz at 8 A maximum power factor 0.8 ±10%. Ambient operating temperature is 64-86ºF
(18-30ºC) (EH8, EH9).
Hardware. The UPS system-power conditioner combo unit (optional equipment) uses fuses. When replac-
ing the fuses, use replacements with the same rating and capacity (HH1).
Software. Once operational, only properly trained and authorized personnel may use i5 Platform for DR to
access patient records. Operating information about the Clinical Mode of is available in the com-
panion Operator's Manual3 (SH7, PH9, OH1, OH2).
All personnel must wear dosimeters during every phase of installation, operation, and mainte-
nance of the system and the equipment to which it is connected (PH4).
2. InfiMed, Inc. DCP 251. i5 DR project hazardous analysis. Components of hazard analysis are noted with each caution.
3. InfiMed, Inc. i5 Platform for DR. Operator’s Manual. Part number 721-201-G1.
Servicing. Only properly trained and authorized personnel may install or configure (SRH3, OH2).
The power source must meet the power supply requirements defined in the site planning guide.
Use of the system outside these limits voids the product warranty (SRH5).
This instrument contains high voltages capable of causing death. Do not connect additional multi-
ple portable socket-outlet or extension cords to the system. Follow instructions for correct cabling
of components (SRH6).
InfiMed engages qualified translators who are trained in medical and computer terminology, and
these translators are checked by editors who are similarly qualified, yet translated materials are
the interpretation of the translator and are not considered InfiMed's responsibility. Each translation
is based on the original English version release. At times, a translated manual may not be the
same revision as its English counterpart (SRH7).
Only properly trained service personnel may alter any hardware components except for Operator-
permitted cleaning procedures or procedures supplied as instructions with a part provided by the
manufacturer. Doing so could disrupt the functioning of the system and result in loss of images.
Service personnel should contact manufacturer for applicable part numbers from the system's
spare parts list (SRH8).
Operation. Do not use this instrument in the presence of an explosive atmosphere, including flammable
anesthetics. Failure to comply could result in fire and explosion (OH5, EnvH2).
Operate the system such that no patient contact with any part of the system is possible. Position
the PC cabinet away from the patient and outside a 6-ft radius of diagnostic area. Attempt no
maintenance, including troubleshooting, in the presence of any patients or unauthorized staff.
The system is interfaced with x-ray generating equipment. Follow the instructions for wearing
proper lead shielding that came with the x-ray generator. Do not bypass the safeties provided by
the x-ray generator during the installation or servicing of the hardware or software. Doing so could
expose personnel to unnecessary radiation.
Environment. Follow procedures with regard to electromagnetic compatibility (EnvH3).
At the end of its useful life, this equipment and its accessories must be disposed of safely and in
accordance with government regulations (EnvH4).
Miscellaneous. Transport and store the electronic components within recommended parameters (see
below, MiscH1).
Operate the electronic components, including the isolation transformer, within the parameters
listed in Table 1 (MiscH2, MiscH3, MiscH4).
Electromagnetic compatibility
The System complies with EN 60601-1-2:2001-09 Section 6. Prevent the potential risk of electromagnetic
interference between this equipment and other devices. The device has been tested for EMC compliance,
but interference can still occur in an electromagnetically noisy environment. Maintain a suitable distance
between electrical devices to prevent cross-interference. The PC cabinet should be as far as possible from
any such device to prevent noise from affecting the image video signal.
Medical electrical equipment needs special precautions regarding electromagnetic compatibility (EMC)
and needs to be installed and put into service according to the EMC information provided here. Portable
and mobile RF communications equipment can affect medical electrical equipment.
Suggested optimum usage: Do not place equipment or system adjacent to or stacked with other equip-
ment. Take extra precaution to verify normal operation of the configuration used at the site.
Use the following guidance tables for emissions and separation distances:
Immunity test EN/IEC 60601 test level Compliance level Electromagnetic environment - guidance
ESD EN/IEC 61000-4-2 ±6 kV contact ±6 kV contact Floors should be wood, concrete, or ceramic tile. If
±8 kV air ±8 kV air floors are synthetic, the relative humidity should be
at least 30%.
EFT EN/IEC 61000-4-4 ±2 kV mains ±2 kV mains Mains power quality should be that of a typical com-
±1 kV I/Os ±1 kV I/Os mercial or hospital environment.
Surge EN/IEC 61000-4-5 ±1 kV differential ±1 kV differential Mains power quality should be that of a typical com-
±2 kV common ±2 kV common mercial or hospital environment.
Voltage dips/dropout EN/ >95% dip for 0.5 cycle >95% dip for 0.5 cycle Mains power quality should be that of a typical com-
IEC 61000-4-11 mercial or hospital environment. If the user of i5
60% dip for 5 cycles 60% dip for 5 cycles requires continued operation during power mains
interruptions, it is recommended that i5 be pow-
ered from an un interruptible power supply or bat-
30% dip for 25 cycles 30% dip for 25 cycles tery
>95% dip for 5 s >95% dip for 5 s
Power frequency 50/60 3 A/m 3 A/m Power frequency magnetic fields should be that of a
Hz magnetic field EN/IEC typical commercial or hospital environment.
61000-4-8
Recommended separation distances between portable and mobile RF communications equipment and
this system
Table 206. Equipment and systems not life-supporting (IEC 60601-1-2:2001-09 Sec 6:6.8.2.201b)
The i5 system is intended for use in the electromagnetic environment in which radiated disturbances are
controlled. The customer or user of i5 can help to prevent electromagnetic interference by maintaining a
minimum distance between portable and mobile RF communications equipment and i5 as recommended
below, according to the maximum output power of the communications equipment.
Preventive maintenance
About every 6 months — or whatever frequency your site requires —check the functionality and appear-
ance of each major component of the imaging system:
• Inspect the Bucky for dust or debris. Clean with a dry soft cloth, if necessary.
• Inspect grid slides to see that they are free of debris.
• Check cables for chafing, and replace if necessary.
• Check cable connections and housings. If the housings are damaged, replace the cables. If the con-
nectors are loose, re-secure the connections.
• Verify that the hardware in the power distribution box is secure. Tighten the screws if necessary.
Shut down all components of the system before cleaning. Follow these cautions when cleaning electronic
components:
• Blow dust from the interior of the PC and from fan covers to permit air circulation.
• Never spray or squirt the liquids directly on any computer component. If you need to clean the
device, spray cloth first, then rub the equipment to clean.
• Be cautious of all cleaning solvents or chemicals when you used for cleaning. Some individuals may
be allergic to the ingredients.
Place no food, drink, or cigarettes around the computer.
i5 is composed of sensitive electronic devices. Follow caution stickers regarding careful handling. We rec-
ommend that you leave the components in their packaging until it is time to assemble them on site.
To save time when troubleshooting problems and for the best image quality, the x-ray room components
and peripheral devices must be in place, working properly, and configured before installing i5 system.
Check that the following are in place.
Pre-installation site survey. InfiMed requires that dealers of our products assess the facilities into which
i5 system will be installed. We give them a short form, the Pre-installation Site Survey, to complete.
They submit the Survey to InfiMed, and it helps us to send the correct equipment. This survey
should be helpful to the installer of the system, too. Therefore, if you do not have the completed
version of the Pre-installation Site Survey, check with the administrator of the organization that
purchased i5 system. If necessary, contact InfiMed Customer Care to see if a copy was submitted
(+1 315-453-4553) or if you have any questions or problems.
Room layout. Discuss with the site personnel the preferred location for each component. Sketch the room
layout to assist with placement of the components and cabling of i5.
Enough shelf or table space. A flat work surface (table or cart) is required to hold the operator controls.
Check that the area has enough room for comfortable use of the keyboard and pointing device and
that the table or cart is at a suitable height. If space is limited, consider using a retractable key-
board shelf (not supplied by InfiMed).Some configurations, notably those with the mobile cart, will
replace the physical keyboard with an on-screen touch keyboard. Consult the site personnel for
their preferences. See page 100 for information on configuring the on-screen keyboard.Suitable
conduits. Refer to later chapters in this Manual for details on required cables, routing restrictions,
cable sizes and lengths. Also, consider cables for other devices in the x-ray room and control
room. See that there is an acceptable path for each cable.
Generator functioning. The generator must function properly before making any connections between it
and i5 system.
Power source. If the power source does not meet criteria as outlined in the next chapter of this Manual,
install the InfiMed power conditioner. See page 15.
Image monitors. Consult site personnel to determine preferred location of image monitors. Monitors are
shipped with removable bases. InfiMed recommends you remove the tilt-swivel base from monitor
before mounting monitor to an unstable surface such as a cart or hanging bracket. If using a cart,
InfiMed recommends that you attach a handle to the cart for safe use of the cart and monitor. To
attach the monitor to a cart or to a hanging bracket, consider how the monitor will be attached to
the surface.
Blank disks. To test i5’s recording capabilities you need at least one CD or DVD.
Network drop. The site must provide the network connection cable. Work with the site's network adminis-
trator to have this arranged. i5 system supports 10/100/1000 Base-T connections.
Network information. The network address must be obtained from the local network administrator. This
information can then be entered into i5 system when the system parameters are set.
Remote DICOM services. The site must provide connectivity data for DICOM service classes, print, store,
worklist, and so forth that are necessary for the particular site. Refer to the Pre-installation Site
Survey for data forms, or contact InfiMed Customer Care (+1 315-453-4553).
Review the hardware (this chapter) and cables (chapter about x-ray detector); then, begin layout and,
afterward, connections.
PC tower
The rear panel of the PC has fragile components. Use care when removing the unit from its packaging and
when positioning it.
InfiMed ships i5 with a tower PC (model S3210SHLC, InfiMed part number 723-980-G2, Figure 1). The PC
cabinet contains motherboard, hard drive, CD/DVD disc drive, power supply, dual-port serial card, video
card, multiple USB ports, and on-board Ethernet
The PC tower is usually positioned in the control room near the monitor, keyboard, and pointing device.
Note: Keep the PC tower beyond a 6-ft radius of the x-ray table. Pay careful attention to other equipment in
the room that generates high frequency signals, and place the PC tower as far from such equipment as is
feasible. Such placement helps to prevent the noise from affecting the image video signal.
Allow sufficient space around the PC tower to permit service personnel to gain access inside its cabinet.
Keep a minimum of 4 inches of clearance at the front and rear of the PC tower for ventilation. The PC
tower must be placed on a flat level surface and checked for stability. If necessary, use a PC stand.
i5 uses an LCD touch screen monitor (InfiMed part number 855-044-G1). Commonly, a keyboard, mouse,
and monitor are located in the control room. See Table 2 for specifications, including regulatory require-
ment, for the monitor.
Control room monitor. Position the monitor within 6 cable ft of the PC and within 6 cable ft of the isolation
transformer (or within 100 ft if the 100-ft extension cord is used). The control room monitor may be,
but need not be, powered from the isolation transformer (Figure 2) or the optional UPS-power con-
ditioner (Figure 3).
Power to monitor. If the optional UPS-power conditioner is being used, we recommend that the monitor
be powered through it. Such an arrangement permits the monitor to remain on while the patient
exam is closed and i5 system safely powered down. Power extension cables may be purchased
from InfiMed or fabricated to the prevailing electrical and fire codes.
Pointing devices
The most common pointing device is a mouse, but other devices include track balls or touch pads. If the
exam room monitor is located on a cart, a trackball is often used and located on the cart. If the monitors are
suspended, a touch pad is often used.
Use a keyboard splitter or a pointing device splitter to add additional devices. Note that both splitters are
similar in appearance but function differently. Each is appropriately marked to indicate the device connec-
tions. The pointing device splitter and the keyboard splitter must be attached directly to the PC tower with
the extension cables for the devices attached to the splitters. The splitters will not function properly if
attached to the remote end of an extension cable.
Power requirements
i5’s system power must meet the specifications in Table 3. Power must be from a dedicated AC line. Dedi-
cated is defined as having no other branch circuits and the outlet is powered directly from a circuit breaker
in the local AC distribution panel.
Power phase V Hz A
Single 90 - 132 50 / 60 8
Single 198 - 242 50 / 60 4
Power must be free of noise, spikes, surges, and brownouts that exceed the nominal voltage by ±10%. If
these conditions cannot be met, the optional power conditioner is required (see Figure 3). The following
conditions must also be met:
• Peak impulse levels (line to neutral) are to be under 100 V peak above nominal (peak time interval 2
ms or less).
• The neutral wire must be the same gauge as the line wire.
• Frequency requirements are: 60 Hz system: 60 Hz ±0.5 Hz, 50 Hz systems: 50 Hz ±0.5 Hz.
• Neutral to ground potential: 2 V p-p or less.
• For sites using 230 V AC, an approved male plug must be used on the isolation transformer
(Figure 2) provided it has ratings of 250 V AC and 5 A or greater.
Isolation transformer
Use the isolation transformer (Figure 2) to supply power to i5 system. Do not simply plug i5 system into a
wall plug. The isolation transformer powers all components of i5 system and is normally positioned under
the table or counter that holds the monitor and PC. Position the isolation transformer within 6 ft of the wall
power source. The isolation transformer is considered a multiple portable socket outlet (MPSO). Locate in
accord with the prevailing electrical and fire codes. SeeTable 4 for specifications.
115 V AC 230 V AC
Input voltage 115 V AC nominal 230 V AC nominal
50/50 Hz 50/60 Hz
Input current 8 A RMS maximum Input current 8 A RMS maximum
Output voltage 115 V AC (±4%) 115 V AC (±4%)
50/60 Hz 50/60 Hz
Output current 7 A RMS minimum Output current 7 A RMS minimum
Leakage current 99 µA max at full load 99 µA max at full load
Power outlets Four standard North American style female receptacles (NEMA-5-15)
Fault protection Two 8-A circuit breakers
The uninterruptible power system (UPS, Figure 3) may not be placed on the floor.4 Mount it in such a way
to prevent the ingress of liquids and to avoid mechanical damage during normal use. Input power is 120 V
AC, 9.2 A, 50/60 Hz. output power is 120 V AC, 1000 V A. See Figure 4 for placement of the UPS combo
unit, if used.
4. IEC 60601-1-1.1.
i5 supports several flat panel detectors. The panels can connect with cables or through a wireless access
point to the operating computers.
The interface of a digital detector to the x-ray system closely resembles The specified maximum voltage
the interface used by a film Bucky tray with a reciprocating anti-scatter level for the generator interface
grid. The x-ray exposure must be synchronized with: signals varies with the make and
model of the x-ray detector.
Film Bucky. Motion of the grid.
Review the proper voltage for
Digital detector. Integration window of the device. each detector.
A minimum of three interface signals are required to operate i5 Platform for DR:
Some host x-ray systems also require use of the RAD_READY interface line. If RAD_READY is enabled in the
system configuration, both the REQ and the RAD_READY lines must be true for the exposure sequence to
occur. See Table 5.
REQ Host x-ray i5 Active when generator has completed PREP cycle and operator is calling for an
Required system exposure
rad_ready Host x-ray i5 If x-ray system is configured to use RAD_READY input, both REQ and RAD_READY
Optional system must be true to initiate an exposure. The RAD_READY line is typically not used.
Select 1 Host x-ray i5 Active when i5 is selected for image acquisition on detector panel #1.
Optional system When both Select 1 and Select 2 lines are off, i5 assumes that the generator is
in use for other non-digital detectors.
Select 2 Host x-ray i5 Active when i5 is selected for image acquisition on detector panel #2.
Optional system Only used on dual digital detector systems.
X-RAY_EN i5 Platform Host x-ray Active when (a) patient is open, (b) PREP and REQ inputs are true, and (c) detec-
Required for DR system tor is ready to acquire.
When X-RAY_EN is active, x-ray exposure should initiate from the host x-ray sys-
tem.
Systems that have dual x-ray detectors are required to use the Select 1 and Select 2 input signals. These
signals select detector #1 or detector #2, respectively. When a system has only one x-ray detector, these
signals are optional.
Interface signal sources may vary depending on the specific detector used. Consult the specific detector
interface information in this manual for detector-specific information.
This chapter discusses the Carestream Health Detector x-ray panel (Figure 6):
Wireless cassette-sized detector, ISO 4090, Wireless standard 802.11 n
Image size: 35 x 43 cm
Maximum external dimensions: same as 35 x 43 cm cassette
Weight: 8.5 lb (3.9 kg)
Pixel pitch: 139 µm
Power: On-board rechargeable battery or external battery charger
Captures 70 to 90 images on a single charge. Can be used with standard grid.
Battery charger (Figure 6). Accommodates up to three batteries. Power: 90-264 V, 50-60 Hz, 75 W max
Optional power/communications tether. Connects detector to capture console for wired image transmis-
sion or to the battery charger for trickle charging when the detector is used in a Bucky.
Cautions
• Consult Carestream Health Detector technical documents for installation and testing instructions.
• Work on a clean work surface.
• Protect the wireless panel sensor from electrostatic discharge (ESD), scratches, dust, spills, and
moisture. The electronic components are extremely sensitive to ESD, dust, dirt, oils, and other
contaminants; therefore, use ESD precautions when working with electronic equipment.
Generator interface
When using the Carestream Health Detector, all generator interface input and output is accommodated by
i5's digital interface board. No interface signals are required between the host x-ray system and the Car-
estream Health Detector.
The input and output signals from the host x-ray generator must be direct current (DC) voltages that are
greater than 5 V and less than 28 V when active.
Inputs have polarity. The input and reference for each signal must be selected according to the active state
polarity of the host x-ray system.
See Table 6 to determine which signal lines are required and which are optional.
Side A signal Side A pin Wire color Side B label Interface cable, 723-097-G3
Input 1 12 Black prep+
Reference 1 30 White prep-
Input 2 13 Red req+
Reference2 31 Green req-
Input 7 18 Blue/black rad_ready+
Reference7 36 Black/white rad_ready-
Input 3 14 Orange Select 1+
Reference 3 32 Blue Select 1-
Input 4 15 White/black Select 2+
Reference 4 33 Red/black Select 2-
N. O. 1 1 Green/black x-ray_en+
Comm 1 2 Orange/black x-ray_en-
The Carestream Health Detector offers two options: Option 1, wireless only (Figure 8) and Option 2, wire-
less with tether (Figure 9).
Configuration
The Carestream Health Detector must be configured to operate with i5. To do so, begin with the Service
Mode menu (“Part 2. Configure i5 System” on page 97). Select the first option, Config. Among the configu-
ration options is Panel Configuration. Select it. See Figure 10.
Select Add from the lower part of the top-right window pane. This button gives you a drop-down menu with
Carestream DRX1 as one of the options. Select the Carestream option.
Next, you see a new window with a file-browse dialog. Browse to the location of the CD that was shipped
with the Carestream Health Detector panel. Among the files on that disc, select the file Registration.xml,
and open the file. i5 Platform for DR uses the Registration.xml file to install the panel. Once it has been
installed, select Verify Settings (see Figure 10) to verify the panel's connectivity to i5.
Use the values in Table 7 when configuring the Carestream Health Detector in Service Mode for use with
i5.
Calibration
The Carestream Health Detector panel supports two types of calibration: dark and gain.
Dark calibration
The panel requires dark calibration every 24 hours, and the procedure is automated. i5 asks you daily to
perform a dark calibration. If you respond Yes, the daily calibration window opens (see Figure 11).
Place the detector in a location where it will not be exposed to radiation, and select the start (Play) icon. Do
not move the detector during calibration. The calibration process takes about 4 minutes.
You may interrupt and stop the calibration process at any time. Press the Stop icon. If you do so, i5 notifies
you that the dark calibration was canceled. It then discards any calibration data that may have been cre-
ated and reverts to using the data of the last successful calibration.
If the dark calibration process goes to completion, i5 reports whether the calibration was successful or
failed. If the detector fails dark calibration for 10 days in a row, the detector is disabled.
Gain calibration
Gain calibration should be performed after every 500 images have been obtained. Gain calibration is per-
formed in Service Mode. To begin, select Calib from the Service Mode menu (“Part 2. Configure i5 System”
on page 97). Follow the on-screen instructions (Figure 12). They state:
1.Remove the detector from the Bucky, and place it where it will not be exposed to any radiation.
6.Set the exposure parameters according to instructions on the screen. If the generator is integrated with
i5 Platform for DR, select Generator Interface from the Service Mode menu (“Part 2. Configure i5 System”
on page 97).
When the calibration is complete, you are notified whether the process was successful or not. If unsuc-
cessful, perform the calibration again.
Calibration history
You may review the history of calibrations performed. The parameters reported in the history are start and
end dates, user name, date performed, calibration test type (gain, dark, and so forth), and results (pass,
fail, cancelled).
An update is typically necessary after hardware has been replaced or after an upgrade of the software.
Firmware is stored in non-volatile memory local to that component.
When updates are necessary, start the Update from the main menu of Service Mode menu (See “Part 2.
Configure i5 System” on page 97.). The Update function shows a new window (Figure 13) that lists the cur-
rent version of the firmware of i5. It also has a button to Update Firmware. Click this button, and you are
asked where the data are to update the firmware. InfiMed will have supplied this data to you. Tell i5 the
location of the data file ( [name].dat ).
The progress bar shows the advance of i5 in updating firmware. Wait until all the firmware is updated
before terminating this function.
To check on the version of the software of i5, click Versions at the bottom of the Service Mode main menu
(See “Part 2. Configure i5 System” on page 97.).
Diagnostics
Select Diag on the Service Menu (see “Part 2. Configure i5 System” on page 97). A new window opens
(Figure 14), and the first choice among the diagnostics is Detector.
Select Panel Diagnostics, and three choices appear: hardware status, digital IO, and voltages. See
Figure 14.
Hardware. The hardware status screen shows the states of the detector's components (Figure 14).
Digital IO. The next choice, Digital IO, shows the current state (open or closed) of each of the eight digital
IO relays of the Carestream Health Detector.
Voltages. The third choice shows a screen with a listing of the current voltage level for the power supplies
internal to the detector.
This chapter describes the Samsung model LTX240AA01-A flat panel x-ray detector, how it is cabled,5 and
how it works with the i5 Platform for DR. The Samsung x-ray panel, model LTX240AA01-A, ships with:
• Flat panel x-ray detector (Figure 15). Product size: Type A, 512 x 535 x 48 mm, Type B, 571 x 653 x
25 mm, screen size: 45 x 46 cm, 61 cm diagonally, resolution: 3072 x 3072, 9.44 megapixels
• Power supply (Figure 15)
• LAN cable
• Power supply cable
• Detector power cable
• X-ray trigger cable
• Image acquisition software.
FIGURE 15. Samsung panel (LTX240AA01-A, right) and power unit (left)
5. Adapted from Samsung Mobile Display Co., Ltd. “Training & installation guide.” Samsung Flat-panel x-ray detector,
model no. LTX240AA01-A. April 2009.
Generator interface
The Samsung panel is connected to the x-ray generator, to its power unit, and to the PC of the i5 Platform
for DR. Figure 16 shows the main connections with a generalized connection diagram. See Figure 20 for
details.
FIGURE 16. Samsung imaging system
Figure 17 displays the ports on the panel and the connections on the power supply unit.
FIGURE 17. Ports for detector (left) and power unit (right)
Cables
Figure 18 shows the cables that accompany the Samsung panel. Follow these steps to connect the cables:
1. The detector power cable has eight pins. Make sure to differentiate it from the generator synchroniza-
tion cable which has seven pins. Connect the detector power cable (eight pins) from the power output
on the power supply to power port 1, 2 on the detector.
2. Connect the power supply cable to the power supply box.
3. Critical step: Set the input voltage switch (110 or 220 V) to suit the power supply of your location. (See
Figure 17, right, for #2, Conversion switch 220 V /110 V.)
4. Connect the power cord from the power supply to the power source.
5. Connect the LAN from the PC to the detector.
6. Connect the generator synchronization cable from the detector to the x-ray generator. To reduce noise,
ground the detector. The description of each component cable of the generator synchronization cable
is written on the insulation. See below for additional information on connections.
Both the I/O board of the i5 Platform for DR and the Samsung detector handle the input/output interface
between the detector and the x-ray generator. Input and output signals from the host x-ray must be direct
current (DC) voltages greater than 12 V and less than or equal to 24 V when active. The i5 board requires
PREP and REQ inputs. Select 1 and RAD_READY inputs are optional.
The X-RAY_EN signal from the i5's digital I/O card is not used when interfacing the detector with the host x-
ray system. The detector generates X-RAY_EN.
The detector requires an input signal from the host x-ray system indicating that the generator is ready to
start the exposure. The signal has the same function as the REQ input signal to the i5 Platform. The two
conductors of this signal are labeled “12-24VDC” and “READY INPUT” on the Samsung synchronization
cable.
The Samsung detector generates the X-RAY_EN output. The interface conductors on the Samsung syn-
chronization cable are marked “READY DONE” and “READY DONE COM.”
See Table 8 to determine which signal lines are required and which are optional. See Table 9 for informa-
tion on the Samsung synchronization cable.
See Figure 19 for the interface of the detector with the i5 PC.
Figure 20 shows the hardware configuration of the i5 Platform for DR and the Samsung detector.
Side A signal Side A pin Wire color Side B label Interface cable, 723-097-G3
Input 1 12 Black PREP+
TABLE 9. Pins & functions, Samsung detector & Samsung generator synchronization cable
FIGURE 20. Hardware configuration diagram, Samsung panel with i5 Platform for DR
Follow these steps to power-on the Samsung panel for the first time. (To power-up for operation, see
page 45.)
Table 10 lists the functions indicated by the LEDs on the Samsung panel.
The Samsung panel with the i5 Platform for DR uses the panel's semi-auto mode to synchronize the detec-
tor with the generator. (The panel supports two other modes, but they are not used with the i5 Platform for
DR.) Note: (a) The panel's photo coupler input power is 12-24 V DC. (b) Take care not to overflow the
capacity of the relay switch (under 30 V, 2 A for DC and 125 V, 0.5 A for AC). If it is not kept on, it is recom-
mended that you use the interfacing board between the detector and a generator.
Figure 21 illustrates the semi-auto mode. The following is the semi-auto trigger mode:
Configuration
You organize the i5 Platform for DR to work with the Samsung panel in Service Mode. Select the first item
of the Service Mode menu, Config. Then, select Panel Configuration. See Figure 22.
From the Panel Configuration window's upper-right pane, highlight the panel of interest, and then select
the Add button to add the Samsung panel. Refer to the values in Table 11 when configuring the Samsung
panel in Service Mode for the i5 Platform for DR.
Once you have entered the basic data to configure the Samsung panel with the i5 Platform for DR, select
the Configure Panel option on the right side of the lower-right pane (Figure 22).
During configuration, you specify whether the panel will collect raw images data and whether it will run in
emulation mode. Both of these options should be disabled (Figure 23). (Emulation mode does not commu-
nicate with the panel; it is only for demonstration purposes.) Additionally, you specify which image correc-
tions the detector may use. Select all three: InfiMed offset, InfiMed gain, and InfiMed defect (Figure 23).
Calibration
The Samsung panel permits detector corrections for InfiMed offset, InfiMed gain, and InfiMed defect. For
specific calibration functions, follow on-screen prompts with the i5 Platform for DR in Service Mode.
From Service Mode, you may calibrate the Samsung panel. To begin, select Calib from the Service Mode
menu (See “Part 2. Configure i5 System” on page 97.). The various calibrations available to this panel dis-
play in a new window (Figure 24) in the windows’ left panes.
Dark calibration
Select Dark, (Figure 24, left pane), and press the play button in the right pane. You may interrupt the cali-
bration at any time by pressing the stop button. When the calibration is complete, the i5 Platform for DR
signals whether the calibration succeeded or failed.
Gain calibration
You may perform gain calibration for the InfiMed gain correction if you configured the panel to use the
InfiMed gain correction. Alternately, you may perform gain calibration for the panel’s own image correction
if panel gain and/or panel defect were selected. You may also check the history of calibration for the Sam-
sung panel. For specific calibration functions, follow on-screen prompts with the i5 Platform for DR. Sev-
eral images are acquired in the calibration procedure.
FIGURE 25. Samsung gain calibration: Left: Before, Right: During calibration
Note: If your x-ray generator is integrated with i5, an icon showing that connection appears in the
lower-right of the gain calibration window (see Figure 25). With an integrated generator, you may
select this icon to bring up the generator interface. You may then adjust the x-ray techniques.
1. Begin at Service Mode for the i5 Platform for DR. Select Calib.
2. In the new window (Figure 25, left), select Gain.
3. Follow the on-screen instruction to set SID, collimator, and filter.
4. Click the Play button. The progress of the calibration displays in the middle-right of the calibration win-
dow (Figure 25, right). Note the newly updated instructions in the middle pane of the window.
5. When the panel says to provide a specific kV/mA (Figure 25, right), set the suggested values on the
generator.
6. Expose the panel. If the exposure meets the required criteria, the panel’s next requested exposure set-
ting (kV/mA) is displayed.
7. Set those values, and expose. If the exposure was too high or low, the i5 Platform for DR tells you to
modify the exposure up or down.
8. Repeat exposure and adjustment until you get the next exposure setting.
9. Repeat until all images have been taken.
10. If all proceeds well, wait for the pop-up indicating a successful calibration.
You may review the history of calibrations performed; select History in Figure 25. The parameters reported
in the history are start and end dates, user name, date performed, calibration test type (panel gain, InfiMed
gain, and so forth), and results (pass, fail, cancelled).
Diagnostics
You may gauge the performance of the i5 Platform for DR with diagnostic tests that address the detector,
data collection, the generator (if integrated), raw image storage, and serial port communications. (General
diagnostics are discussed below in this manual. See “System Diagnostics” on page 129.)
To begin, click Diag on the Service Mode menu (See “Part 2. Configure i5 System” on page 97. for instruc-
tions to use Service Mode). On the diagnostics screen that appears (Figure 26), the first choice among the
diagnostics is Detector, appearing at the top of the diagnostic choices of the window.
Toward the top of the window (Figure 26, top-right) is Panel Diagnostics. Select it for diagnostics specific to
the Samsung Panel.
The panel diagnostics window (Figure 26 inset, lower-left) permits you to ping the IP address of the panel
to insure that it is functioning correctly. You may also see the status of the detector. With regard to images,
the window gives you the following options:
Acquire offset. This function acquires an offset image from the detector. No radiation is required. After the
offset image is acquired, you are asked if you wish to save it.
Acquire x-ray. This function prompts you to activate radiation. After you have activated radiation (PREP &
REQ), an x-ray image is acquired from the detector. After the x-ray image has been acquired, you
are asked whether to save it. Note: This x-ray image is the raw image coming from the detector
and, therefore, has no image processing or corrections applied.
Operation
Description.
Temperature. The x-ray detector should be used at room temperature. Let the detector warm up for 30
minutes before any images are acquired to insure high image quality.
Grounding. The detector is composed of sensitive electronic parts and components. It must be grounded
by ESD protection equipment before it is installed or operated.
Cleanliness. The panel must be used in a clean location. Exercise caution to see that it is not affected by
dust or liquids. To clean the detector's housing, use a dry and soft cloth.
Power-up
Verify that the AC power is connected, and set the voltage select switch. (See Figure 17 on page 34, right,
for #2, Conversion switch 220V/110V.)
This equipment has been tested and found to comply with the limits for medical devices in IEC 60601-1-
2:1994. These limits are designed to provide reasonable protection against harmful interference in a typi-
cal medical installation.
This equipment generates, uses, and can radiate radio frequency energy and, if not installed and used in
accordance with the instructions, may cause harmful interference with nearby devices. There is, however,
no guarantee that interference will not occur in a particular installation. If interference is experienced, you
can determine if this panel is the source of that interference by turning the panel off and seeing if the inter-
ference persists.
If this equipment causes harmful interference in other devices, the user is encouraged to try to correct the
interference by one or more of the following measures:
Maintenance
The detector may be maintained only by qualified factory service providers. If the detector is defective,
return it to the manufacturer for repair.
Clean the equipment with a dry soft cloth or a soft cloth lightly moistened with a mild detergent solution.
Use no solvents, such as alcohol or benzene, on the detector.
This chapter discusses the specifications of the Trixell Pixium 3543pR portable detector (Figure 27). These
are the characteristics of the Trixell panel:
Front end detector (Figure 27): Wireless operation (WiFi); no interference with surrounding machines due
to the low power WiFi connection; can also be used with a cable connection; can be used with fixed radiog-
raphy systems; built-in carrying handle. Designed for imaging patients with limited mobility; flexibility to
capture data at angles that are difficult to achieve with a unit installed within a table or wall stand. Dimen-
sions: 19.5 x 18.5 x 1 inch (495 x 470 x 25.4 mm), Weight: 10.6 lb (4.8 kg).
FIGURE 27. Trixell 3543R panel, docking station, & docking station power supply
The front end detector has three LEDs to give basic information on the detector behavior.6 These LEDs
and their states are listed in Table 12.
6. Thales. Pixium portable detector, preliminary mechanical interface description. XRIS 1M 207.07. May 2007.
TABLE 12. States for LEDs on Trixell 3543pR front end detector
Docking station (Figure 27). Required for 3543pR detector. Wireless operation (WiFi) or can be used with
a cable connection. Wall or cart mountable. Dimensions: 16.2 x 20.4 x 7.83 inch (412 x 518 x 199 mm).
Weight: 35 lb (15.9 kg). Input power: 24 V DC, 3 A max.
The docking station has two LEDs, power and status. The states and meanings of these LEDs are listed in
Table 13.
Power Status
Green Docking station is powered Docking station ready to receive image
Green blinking - Image transfer in progress
Off Docking station is not powered -
Orange - Docking station not ready to receive image
Orange blinking - Docking station switched off
Docking station power supply (Figure 27). Dimensions: 6.5 x 3.25 x 1.5 inch (165 x 82.5 x 38.1 mm),
weight: 24 oz (684 g), output power: 24 V DC, 5 A max, input power: 100-240 V AC, 2 A max 47-63 Hz.
Component placement
To increase battery life, store the detector front-end in its docking station when not in use for x-ray imaging.
Cautions
• Consult Trixell technical documents for proper battery installation and testing instructions.
• Work on a clean work surface.
• Protect the wireless panel sensor from electrostatic discharge (ESD), scratches, dust, spills, and
moisture. The electronic components are extremely sensitive to ESD, dust, dirt, oils, and other
contaminants; therefore, use ESD precautions when working with electronic equipment.
Environmental parameters
Transport and operating conditions for the panel are listed in Table 14.7
Cables
Cables required for the Trixell 3543pR detector and the i5 Platform for DR are listed below
PC NIC1 TO DS 068-329, 100-MB serial cable
CAT 5 serial cable
Connector type: RJ-45
Connector outer diameter: 0.5"
Length: 15 m, 50 ft
Generator interface
The i5's digital interface board accommodates all interfacing between the generator and the Trixell 3543pR
detector. No interface signals are required between the host x-ray system and the detector.
Input and output signals from the host x-ray must be direct current (DC) voltages greater than 5 V and less
than 28 V when active.
See Table 15 to determine what signal lines are required and which are optional. Inputs have polarity. The
input and reference for each signal must be selected according to the active state polarity of the host x-ray
system.
TABLE 15. Signal lines for the i5 Platform for DR and interface cable 723-097-G3
Side A signal Side A pin Wire color Side B label Interface cable, 723-097-G3
Input 1 12 Black prep+
Reference 1 30 White prep-
Input 2 13 Red req+
Reference2 31 Green req-
Input 7 18 Blue/black rad_ready+
Reference7 36 Black/white rad_ready-
Input 3 14 Orange Select 1+
Reference 3 32 Blue Select 1-
Input 4 15 White/black Select 2+
Reference 4 33 Red/black Select 2-
N. O. 1 1 Green/black x-ray_en+
Comm 1 2 Orange/black x-ray_en-
See Figure 28 for the interface schematic for the Trixell 3543pR panel.
FIGURE 28. Interface schematic for Trixell 3543pR panel and docking station
Installation
1. Place the 3543pR docking station face down on a flat work surface.
2. Connect the fiber optic x-ray enable cable (068-321) to the X4 E-Ray Enable connector of the docking
station.
3. Connect the 100-MB serial cable to the X3 Ethernet connector on the docking station.
4. Connect the 24-V DC power adapter plug (739-074-G1) to the X1 power plug of the docking station.
Secure the connector in place with the attached 4-40 retaining screws.
5. Plug the barrel connector of the 24-V DC power supply (033-032) to the barrel connector of the 24-V
DC power adapter.
6. Return the docking station to its mounting position.
7. Connect the 24-V power supply to a 120-V AC power outlet. The power indicator light should illumi-
nate.
8. Place the 3543pR front end detector into the docking station, and allow the battery to charge for at
least 2 hr before first use.
Connect i5 to panel
Configuration
Once the panel is communicating with the i5 Platform for DR, it may be configured. Refer to the values in
Table 16 when configuring the Trixell 3543pR in Service Mode for the i5 Platform for DR.
Follow these steps to configure the panel. Start with the Configuration window, Figure 30, and follow these
steps:
1. Select 3543pR panel the Current Panels list. The information in the Panel Details pane of the window
will update to display information for the 3543pR panel.
2. Change the name of the panel, if you wish, in the Detector Name text box.
3. Select Verify Settings to test whether the system is communicating with the panel.
4. Select the Configure Panel button. The configuration dialog opens (new window not shown).
5. Select (or deselect) the corrections and wireless options in this new window. The WiFi country code
can the entered in the text box provided.
6. Select the Save icon at the bottom of window.
Raw images
To have the i5 Platform for DR collect raw image data for diagnostic assistance, check the Raw Image
Data check box. Select Save. Raw images are stored in C:\Panel_Support\”FPDSerial#_Date_Time”.
Calibration
The panel supports x-ray calibration and battery calibration. Note: The x-ray calibration procedure requires
making x-ray exposures and producing radiation; follow safety precautions when operating the x-ray sys-
tem. You may review the history of calibrations performed. The parameters reported in the history are start
and end dates, user name, date performed, calibration test type (gain, dark, and so forth), and results
(pass, fail, cancelled).
X-ray calibration
Begin at Service Mode (“Part 2. Configure i5 System” on page 97). Set the Trixell 3543pR as the current
detector by selecting it from the detector drop-down list on the top right hand corner of the Service Mode
menu. Select Calib on the Service Mode menu.
The calibration dialog opens with support to perform x-ray and battery calibrations. (Note: In the back-
ground, x-ray calibration procedure creates a gain reference file necessary for gain correction during
image acquisition as well as a defect map file used for defect correction.)
Select x-ray calibration on the left side of the calibration dialog window. The right side of the window
updates itself to ready itself to perform x-ray calibration. Follow the instructions on the screen to setup the
x-ray tube and detector appropriately before commencing the x-ray calibration:
Select "Start Calibration." Follow the instructions on the screen, and set the required technique for this part of the
calibration process. For example, set the dose to 5 µGy.
Select "Resume Calibration" (same as the "Start Calibration").The screen changes to show that calibration is in
progress.
When the detector is ready to acquire an image with the current technique, the screen shows a countdown from 7
seconds. At the end of the countdown, the expose relay is closed,and the panel is exposed. During this time, hold
down the hand switch. Continue to follow instructions on the screen. This step might repeat itself more than once
for a particular technique.
Once the acquisition of images is complete for the current technique, the screen will update itself with new instruc-
tions.
Battery calibration
Begin at Service Mode. (See “Part 2. Configure i5 System” on page 97.) Set the Trixell 3543pR as the cur-
rent detector by selecting it from the detector drop-down list on the top right hand corner of the screen
Select Calib on the Service Mode menu. The calibration dialog opens with support to perform x-ray and
battery calibrations.
Select Battery Calibration on the left side of the new window. The right side of the window readies itself to
perform battery calibration. Follow the instructions on the screen, and verify that the front-end is placed in
the docking station, as required.
Select Start Calibration. The battery calibration process is autonomous. It takes about 8 minutes to com-
plete. When the calibration process is finished, the screen displays a message indicating whether the cali-
bration was successful.
Preventive maintenance
The wireless panel can come into direct contact with patients and needs to be sterilized. Refer to Trixell
recommendations for sanitizers.
The Trixell 4600 Detector with Bucky Assembly Option is shipped as one unit (Figure 31). It includes the
Pixium 4600 detector, the AEC ion chamber assembly, and the x-ray grid in a Bucky-type shell. The unit
has the following characteristics:
X-ray. X-ray exposure 1.25 to 2.5 µGy / 150 to 300 µR, x-ray generator voltage range 40 to 150 kVp, 30
µGy / 3,500 µR max.
X-ray sensing surface. Horizontal 3001 pixels 429 mm, vertical 3001 pixel 429 mm
Operation. X-ray pulse duration: Single-shot mode 1 s, Image readout time 1.25 s, Dynamic range 14 bits
The right side of the Trixell 4600 detector has five LEDs to indicate the state of the detector. When the
power supply is turned on, the LED signify the following (Table 17):
Environmental parameters
AEC (optional)
SCDU distributes power and communication to detectors). One unit for each detector (Figure 33).
Dimensions: 10 x 10 x 8" (254 x 254 x 204 mm)
Weight: 18 lb (8.2 kg)
8. Pixium 4600: Installation, Service, and Users manual. 1000513, Rev G. n.d.
Component placement
The Trixell 4600 detector must be mounted in a Bucky, chest stand, or positioner device that is within:
Cables
The following cables are required to install the Trixell 4600 detector with the i5 Platform for DR.
ACQ A - J15 Fiber cable (098-617), data communication
from PC to panel
Connector type: ST
Cable has ¼ inch outer diameter
Connector has ½ inch outer diameter
Length: 30 m (98 ft)
Cannot be altered
739-020-G2 - Power & sense cable (739-019-G1), supply
Power (SCDU) cable distribution unit to interim power and
sync cable
Cable has ¾ inch outer diameter
Connector has 2 inch outer diameter, 12-pin
metramate
Length: 50 ft (cannot be altered)
The following cables are optional with the Trixell 4600 panel and the i5 Platform for DR.
Use a cable strain relief between the power cable connection (739-019-G1) and power connector on the
face-plate of the SCDU. Attach as follows (see Figure 34):
FIGURE 34. Strain relief at SCDU: interior (left) & exterior (right)
1. Remove the faceplate of the SCDU to gain access to the backside of the cable strain relief harness clip
that attaches to the faceplate. Figure 34 (left) shows the back plate removed to view the backside of
the screw location on the interior of the cabinet.
2. Before reattaching the faceplate, connect the power cable to the power connector on the faceplate
(Figure 34, right).
3. Unscrew the cable strain relief from the faceplate. Position the power cable through the cable strain
relief, and re-secure the cable strain relief to the faceplate.
4. Reattach faceplate using the six screws.
See Figure 35 for the schematic of components and cabling for the Trixell 4600 detector.
Generator interface
The digital interface board of the i5 Platform for DR accommodates all generator input and output. No sig-
nals are required between the host x-ray system and the Trixell 4600 detector. Input and output signals
from the host x-ray system must be DC greater than 5 V and less than 28 V when active.
Inputs have polarity. The input and reference for each signal must be selected according to the active state
polarity of the host x-ray system. Use Table 19 to determine which signal lines are required and which are
optional.
TABLE 19. Signal lines for the i5 Platform for Dr & interface cable 723-097-G3
Side A signal Side A pin Wire color Side B label Interface cable, 723-097-G3
Input 1 12 Black prep+
Reference 1 30 White prep-
Input 2 13 Red req+
Reference2 31 Green req-
Input 7 18 Blue/black rad_ready+
Reference7 36 Black/white rad_ready-
Input 3 14 Orange Select 1+
Reference 3 32 Blue Select 1-
Input 4 15 White/black Select 2+
Reference 4 33 Red/black Select 2-
N. O. 1 1 Green/black x-ray_en+
Comm 1 2 Orange/black x-ray_en-
See Figure 36 for the interface schematic for the Trixell 4600 detector.
Note: The panel sensor arrives already assembled inside the Bucky assembly. Grids ship separately.
Leave the panel and ion chamber in the original packaging until immediately before installation to protect
the panel sensor and ion chambers from electrostatic discharges, scratches, dust, spills, and moisture.
The electronic components are extremely sensitive to ESD, dust, dirt, oils, and other debris. Follow these
precautions:
1. Unpack the AEC ion chamber assembly. Notice the ion chamber has clips.
2. Place the ion chamber on the flat panel detector as show in Figure 37.
3. The ion chamber should have two mounting brackets already attached. Position the ion chamber on
the face of the Sensor panel with the top mounting brackets gripping the lip at the head-end.
4. Attach the two loose brackets to the other side of the ion chamber and fit under the lip of the panel.
FIGURE 37. Example of assembled Bucky
Position the board close to the Bucky assembly because the cable is just 4 feet. The board is mountable to
the table, chest stand, or Bucky, depending on cable lengths and room configuration limitations.
The generator interface cable may already be on site if an AEC pre-amp board was previously installed
with the x-ray system. If so, it is possible that the cable is reusable. Contact the ion chamber manufacturer
to verify. Availability of this cable should have been verified before the i5 Platform for DR system was
ordered, or it should have been ordered with the system. If the cable is not available, contact InfiMed Order
Services at +1 315-453-4545.
Proceed with caution. This panel is fragile and heavy (44 lb, 20 kg). Catastrophic damage could occur if it
is dropped.
2. The fiber optic cable is already connected to the inside of the bulkhead. See Figure 38. Route this
cable all the way around the left bottom side of the panel cable port inside the Bucky, and plug into
sensor panel connector at port labeled Image Data.
3. The RS232 communication cable routes around the left bottom of the panel and into the sensor panel
connector at port labeled Communications.
4. Route the power & sync cable through the internal right-side cable port so the cable is close to the
power connection.
5. Lift the panel up and over the panel compartment of the Bucky keeping the cable port of the Bucky fac-
ing in the same direction as the Bucky door. Take care in lifting and placing the panel. Insert the panel
by lowering the left side of the panel into the Bucky, taking care not to crush the clamps. See example
in Figure 39.
FIGURE 39. Example: Set panel into Bucky
1. Locate the rectangular faceplate cover and five securing screws to cover the electronics portion of the
Bucky.
2. Replace the front and rear splash guards
3. Secure the plate to the Bucky.
4. Gently lift the Bucky assembly and insert it into the table or chest stand.
5. Secure Bucky to the table or chest stand using the screws used to secure the old Bucky.
FIGURE 41. Table bucky orientation (left), chest stand orientation (right)
Additional cable connections between the Bucky assembly components, the generator, and the PC are
discussed below. The bulkhead for input and output cables is located on the receptor assembly.
Based on Figure 41, left, choose an entry point for cables to the table Bucky. Based on Figure 41, right,
choose an entry point for cables to the Chest Stand. Follow the manufacturer guidelines on running cables
to the positioner. Note: The positioner does not use a Bucky.
Connect i5 to panel
4. Select the Add drop-down menu, and choose the 4600 panel. A directory selection dialog opens.
5. Select the directory that contains the configuration files for the Trixell 4600 panel. In most cases this is
C:\Panel_support\Configuration Files\config_4600. This directory should contain the following:
• PixRad.ini file corresponding to the panel
• License key file for the panel.
6. Select OK. The system will attempt to connect to the panel. This takes 2-3 minutes.
Configuration
Once the panel is communicating with the i5 Platform for DR, it may be configured. Refer to the values in
Table 20 when configuring the Trixell 4600 in Service Mode for the i5 Platform for DR.
Follow these steps to configure the panel. Start with the Configuration window, Figure 42, and follow these
steps:
1. Select 4600 panel the Current Panels list. The information in the Panel Details pane of the window will
up-date to display information for the 4600 panel.
2. Change the name of the panel, if you wish, in the Detector Name text box.
3. Select Verify Settings to test whether the system is communicating with the panel.
4. Select the Configure Panel button. The configuration dialog opens (new window not shown).
5. Specify the corrections that will apply to images in this new window. First, select the Configure Panel
button. The configuration dialog for the current panel opens. Next, select or deselect the corrections by
marking or unmarking the check boxes in the dialog. Finally, save the changes made.
6. Select the Save icon at the bottom of window.
Raw images
With the configuration dialog window on the screen, you may have the i5 Platform for DR collect raw image
data for diagnostic assistance. Check the Raw Image Data check box. Select Save. Raw images are
stored in C:\Panel_Support\”FPDSerial#_Date_Time”.
Initial test
Before applying power to the completed unit, test the power from the SCDU under load. Use the i5's load
test unit (739-034-G1). Insure that the power to the SCDU is turned off.
1. Plug the internal power and sync cable (already installed) in the Bucky into the load test unit.
2. Turn the SCDU power switch to on; the small green LED should illuminate.
3. Measure the voltages at the point marked for -5 and -5 Ret, 5 and 5 Ret, and 24 and 24 Ret.
The voltages for ±5 V supplies must be within ±0.1 V. The voltage for the +24 supply should be between
23.7 and 25.3 V. If the voltages are not within range, the power connection cannot be made to the panel.
Adjust the power supplies until the power measured at the load tester is within range. Once the power is
within specifications, connect the power and sync cable to the panel. Note: All three voltages must be pres-
ent, or the panel could be damaged.
If there is any problem with the power for the cable, check the power route, the power switch, and LED on
the SCDU.
Once the working voltage is established for the cable, turn off the power switch on the SCDU, and proceed:
If the LEDs illuminate as described, the Panel is receiving proper power. If the LEDs do not light as
described, trace the power source for problems.
Finally, switch off the SCDU. Unplug the cables. Remove the load test unit.
Calibration
The panel permits detector corrections for offset, gain, defect, echo line, clusters, clipping, and butting.9
Dark calibration and x-ray calibration must be done at least every month. Offset refresh must be done at
the beginning of every day. For specific calibration functions, follow on-screen prompts with the i5 Platform
9. Thales. 001 Technical specification. PIXIUM RAD 4343-4600-3543 -TIV 1M 6090 05 - 2.2.doc. 04/12/2007
for DR in Service Mode. Note: The x-ray calibration procedure requires making x-ray exposures and pro-
ducing radiation; follow safety precautions when operating the x-ray system.
You may review the history of calibrations performed. The parameters reported in the history are start and
end dates, user name, date performed, calibration test type (gain, dark, and so forth), and results (pass,
fail, cancelled).
Dark calibration
1. Enter Service Mode. (See “Part 2. Configure i5 System” on page 97.) Set the 4600 as the current
detector by selecting it from the panel from the detector drop-down list on the top-right corner of the
Service mode menu.
2. Select Calib. The i5 Platform for DR calibration dialog opens with support to perform dark, gain and x-
ray calibrations.
3. Select Dark Calibration in the window's left pane. The pane on the right updates itself to be able to per-
form dark calibration.
4. Select Start Calibration. The dark calibration process is autonomous and takes about 8-10 minutes to
complete.
5. When finished, a message box appears indicating if the calibration was successful or not. Dark calibra-
tion can be cancelled by selecting Cancel Calibration.
In the background, dark calibration acquires several offset images on different time grids and processes
them to create the dark references. In addition, it also creates a cluster reference.
X-ray calibration
Successful dark calibration is required before attempting x-ray calibration. If a dark calibration was not
done, then the i5 prompts you first to complete a successful dark calibration.
Note: In the background, x-ray calibration creates a gain reference and a defect map file.
Begin at Service Mode. (See “Part 2. Configure i5 System” on page 97.) Set the 4600 as the current detec-
tor by selecting it from the panel from the detector drop-down list on the top-right corner of the screen.
Select Calib on the Service Mode menu. The calibration dialog opens with support to perform dark, gain,
and x-ray calibrations.
Select X-ray Calibration in the window's left pane. The pane on the right updates itself to be able to perform
that calibration. Follow the instructions on the screen to setup the x-ray tube and detector appropriately
before commencing the x-ray calibration:
Select "Start Calibration." Follow the instructions on the screen, and set the required technique for this part of the
calibration process. For example, set the dose to 5 µGy.
Select "Resume Calibration" (same as the "Start Calibration").The screen changes to show that calibration is in
progress.
When the detector is ready to acquire an image with the current technique, the screen shows a countdown from 7
seconds. At the end of the countdown, the expose relay is closed,and the panel is exposed. During this time, hold
down the hand switch. Continue to follow instructions on the screen. This step might repeat itself more than once
for a particular technique.
Once the acquisition of images is complete for the current technique, the screen will update itself with new instruc-
tions.
Follow prompts on the screen, and repeat the steps in the box above for the various techniques. When the
calibration process is finished, the screen displays a message indicating whether the calibration was suc-
cessful.
Gain calibration
A successful x-ray calibration must have been performed before you attempt gain calibration. If an x-ray
calibration was not done, the i5 Platform for DR will prompt you to complete an x-ray calibration.
Begin at Service Mode. (See “Part 2. Configure i5 System” on page 97.) Set the 4600 as the current detec-
tor by selecting it from the panel from the detector drop-down list on the top-right corner of the screen.
Select Calib on the Service Mode menu. The calibration dialog opens with support to perform dark, gain,
and x-ray calibrations.
Select Gain Calibration in the window's left pane. The pane on the right updates itself to be able to perform
that calibration. Follow the instructions on the screen to setup the x-ray tube and detector appropriately
before commencing the gain calibration:
Select "Start Calibration." Follow the instructions on the screen, and set the required technique for this part of the
calibration process. For example, set the dose to 5 µGy.
Select "Resume Calibration" (same as the "Start Calibration").The screen changes to show that calibration is in
progress.
When the detector is ready to acquire an image with the current technique, the screen shows a countdown from 7
seconds. At the end of the countdown, the expose relay is closed,and the panel is exposed. During this time, hold
down the hand switch. Continue to follow instructions on the screen. This step might repeat itself more than once
for a particular technique.
Once the acquisition of images is complete for the current technique, the screen will update itself with new instruc-
tions.
4. Follow prompts on the screen, and repeat the steps in the box above for the various techniques. When
the calibration process is finished, the screen displays a message indicating whether the calibration
was successful.
Preventive maintenance
When in contact with the detector, protect against electrostatic discharge. Use a dry and soft cloth to clean
the detector housing. The detector cannot be sterilized or disinfected. The detector is not watertight.10
10. Thales. PIXIUM 4600: Installation, service, and user's manual. Document ID 1000513. Release G.
From the Windows desktop, install the software for the Varian 4336R detector.
Use the Varian-supplied installation DVD.
The panel installs to C:\IMAGERs\[PanelSerialNumber] on the PC of the i5 Platform for DR.
This chapter discusses the specifications of the Varian PaxScan® 4336R x-ray panel (Figure 43). The Var-
ian panel has an amorphous silicon digital x-ray imager. It is a ruggedized portable x-ray flat panel detector
designed for mobile digital radiographic x-ray systems to fit 14 x 17 inch standard Bucky trays without outer
case. The ruggedized outer shell with the handle is optimal. The panel can be used with or without the
outer case.
Pixel data:
- Area, Total: 16.8 x 14.0 inches (42.7 x 35.6 cm), Active: 16.7 x 13.9 (42.4 x 35.3 cm)
- Matrix, Total: 3072 x 2560, Active: 3052 x 2540
- Pitch: 139 µm
Energy rating: Standard, 40-150 kVp
Size: 18.1 x 15.1 x 0.6 inches (46.0 x 38.4 x 1.5 cm)
Weight with cables: 8.6 lb (3.9 kg)
Component placement
Position the Varian panel within 7 m of the Varian power supply and I/O interface/control module. Position
it within 10 m of the PC or the gigabit switch, if the switch option is used.
Cautions
• Consult Varian 4336R technical documents for proper installation and testing instructions.
• Work on a clean work surface.
• Protect the panel sensor from electrostatic discharge (ESD), scratches, dust, spills, and moisture.
The electronic components are extremely sensitive to ESD, dust, dirt, oils, and other contami-
nants; therefore, use ESD precautions when working with electronic equipment.
• The panel becomes warm during use. Limit patient contact in line with warnings in manufacturer's
recommendations.
Cables
The following cables are optional for the Varian 4336R detector:
Com 3 on tower Description
Com 2 on panel 739-073-Gx S-232 cable (data communica-
PC - generator tions from PC to generator)
Connector type = 9 pin DSub
Generator Cable has 1/4 inch outer diameter
Connector has 1/2 inch outer diameter
Available in 9, 25, and 50 ft only
PC - isolation Standard 3-prong power cable, male-female
transformer Connector has 1.5 inch outer diameter
Standard, 6 ft and 50 ft
Extension cable can be ordered
PC - monitor 068-021 SVGA extension cable
100 ft
Cable connections
The Varian 4336R detector has three cable connections: (a) external power supply (I/O box) cable, (b) Cat-
egory 5 or better Ethernet cable, and (c) external sync cable. The panel includes an attached cable. The
cable connections are:
Power supply (I/O box). Interface between the receptor and the i5 Platform for DR system. It provides
power to the receptor and an RJ-45 Ethernet. It is also an interface for the external synchroniza-
tion. Connect the receptor cable to the imager connector on the power supply. Plug the power sup-
ply into the main AC supply.
Gigabit Ethernet connection. Connect the Ethernet cable to the power supply (I/O box) connector and to
a gigabit-capable interface in the i5 Platform for DR host computer.
External sync cable connection. Provides the i5 Platform for DR with a means to synchronize the
imager. This connector provides the connections for the i5 Platform for DR I/O board and the Var-
ian I/O box. The one output signal named EXPOSE OK is intended to signal that the receptor is
ready for the generator to produce x-rays; the input named EXPOSE REQ allows the user to trigger
the panel readout. Connect this cable to the external sync connector on the power supply.11
Generator interface
The i5's digital interface board accommodates all interfacing between the generator and the Varian 4336R
detector. No interface signals are required between the host x-ray system and the detector. Input and out-
put signals from the host x-ray must be direct current (DC) voltages greater than 5 V and less than 28 V
when active.
The i5 Platform for DR generates the I/O signals that the Varian 4336R detector requires to synchronize
with the x-ray generator. The signals are V-PREP, V-REQ, and X-RAY-EN. The signals pass through the i5's
digital I/O board to the detector via the DSub 9 connection of interface cable 739-097-G1.
The interface cable has InfiMed part number 739-097-G1; see page 78 for illustration. Table 21 lists the
signal lines. Figure 44 shows which signal lines are required and which are optional. Inputs have polarity.
The input and reference for each signal must be selected according to the active state polarity of the host
x-ray system.
TABLE 21. Signal lines for Varian 4336 detector, cable 739-097-G1
Side A signal Side A pin Wire color Side B pin Side B signal Side C label
N. O. 2 4 Black 1 v-PREP 1+ PREP +
Input 2 13 Red
Reference 2 31 Green
Input 7 18 Blue/black
Reference 7 36 Black/white
Input 3 14 Orange
Reference 3 32 Blue
Input 4 15 White/black
Reference 4 33 Red/black
N. O. 1 1 Green/black
Comm 1 2 Orange/black
11. Varian. PaxScan® 4336R Operating Instructions (P/N 35858). October 2008.
FIGURE 44. Interface schematic for Varian 4335R detector & connection to i5 system
Installation
See diagram in Figure 45 and see schematic in Figure 46 showing components and cabling.
Configuration
Follow these steps to configure the Varian 4336R for the i5 Platform for
DR: Before you configure the
Varian 4336R panel with the
1. Enter Service Mode. (See “Part 2. Configure i5 System” on page 97.).
i5 Platform for DR, install
2. Select the Config option from the top of the Service Mode menu. the software for the panel
from the Varian-supplied
3. The configuration dialog window opens (see Figure 55 on page 102).
installation DVD.
4. Select the Panel Configuration from options in the listing on the left of
the configuration dialog.
5. In the right pane of the configuration window, click the Add button, and select the Varian 4336R panel.
Table 22 lists configuration parameters for the panel.
6. When the Directory Selection dialog window pops up, select the directory that the panel was installed
to (C:\IMAGERs\[PanelSerialNumber]).
7. You may rename the panel if you wish.
After configuration, touch or click the Verify Settings button to see if communication has been established.
The i5 Platform for DR responds with a pop-up window that (a) confirms successful communication or (b)
notes that communication did not take place.
Calibration
The panel permits detector corrections for Varian offset, InfiMed gain, and InfiMed defect. For specific cali-
bration functions, follow on-screen prompts with the i5 Platform for DR. Several images are acquired in the
calibration procedure.
Note: If your x-ray generator is integrated with i5, an icon showing that connection appears in the
lower-right of the gain calibration window (see Figure 47). With an integrated generator, you may
select this icon to bring up the generator interface. You may then adjust the x-ray techniques.
1. Begin at Service Mode for the i5 Platform for DR. Select Calib.
2. In the new window (Figure 47, left), select Gain.
3. Follow the on-screen instruction to set SID, collimator, and filter.
4. Click the Play button. The progress of the calibration displays in the middle-right of the calibration win-
dow (Figure 47, right). Note the newly updated instructions in the middle pane of the window.
5. When the panel says to provide a specific kV/mA (Figure 47, right), set the suggested values on the
generator.
6. Expose the panel. If the exposure meets the required criteria, the panel’s next requested exposure set-
ting (kV/mA) is displayed.
7. Set those values, and expose. If the exposure was too high or low, the i5 Platform for DR tells you to
modify the exposure up or down.
8. Repeat exposure and adjustment until you get the next exposure setting.
9. Repeat until all images have been taken.
10. If all proceeds well, wait for the pop-up indicating a successful calibration.
You may review the history of calibrations performed; select History in Figure 47. The parameters reported
in the history are start and end dates, user name, date performed, calibration test type (panel gain, InfiMed
gain, and so forth), and results (pass, fail, cancelled).
FIGURE 47. Varian gain calibration: Left: Before, Right: During calibration
Preventive maintenance
The panel can come into direct contact with patients and needs to be sterilized. The flat panel receptor and
connected cables are likely to be soiled during use. The specific material most likely to become soiled is
the x-ray grade carbon fiber input window and magnesium housing. Cleaning, disinfection, and sterilization
of the input window should be performed as needed.
Proper disinfection and sterilization requires that a disinfectant-sterilization solution be used. Wiping the
sur-faces with a soft cloth dampened with soap and water will generally clean the surfaces.
12. Varian. PaxScan® 4336R Operating Instructions (P/N 3588). October 2008.
From the Windows desktop, install the software for the Varian 4336R detector.
Use the Varian-supplied installation DVD.
The panel installs to C:\IMAGERs\[PanelSerialNumber] on the PC of the i5 Platform for DR.
This chapter describes the Varian PaxScan 4343R amorphous silicon digital x-ray imager (Figure 48). The
detector is designed for high-speed digital radiographic chest imaging. It uses a gigabit Ethernet interface.
FIGURE 48. Varian 4343R detector
Pixel data:
- Area (total & active): 42.7 x 42.7 cm (16.8 x 16.8 in)
- Matrix (total & active): 3072 x 3072
- Pitch: 139 µm²
Energy rating: Standard, 40-150 kVp
Workstation interface: Ethernet port
Size: 19.4 x 19.4 x 1.5 inches (49.4 x 49.4 x 3.8 cm), Weight with cables: 27 lb (<12.2 kg)
Power supply/adaptor: 100-240 V AC, 47-63 Hz
Component placement
The Varian 4343R is specifically designed for fixed applications where the panel is installed in a table,
chest stand, or other holding fixture. The Varian 4343R detector must be within:
• 6 ft of Varian power supply
• 10 m of PC system or gigabit switch (if switch option is used).
Cautions
• Consult Varian 4343R technical documents for proper installation and testing instructions.
• Work on a clean work surface.
• Protect the wireless panel sensor from electrostatic discharge (ESD), scratches, dust, spills, and
moisture. The electronic components are extremely sensitive to ESD, dust, dirt, oils, and other
contaminants; there-fore, use ESD precautions when working with electronic equipment.
Cables
The following cables are required for the Varian 4343R detector.
The following cables are optional with the Varian 4343R detector.
Cable connections
The Varian 4343R detector has three connections (Figure 49): (a) External sync cable, (b) power supply
cable permanently connected to power supply, and (c) Category 5 or better Ethernet cable. The connec-
tions are:
External sync cable connection. This connector is intended to provide the user with a means to synchro-
nize the end-user system-level application with the imager. The synchronization interface to the
panel consists of two inputs and one output, all through opto-couplers. The expected inputs to the
panel are PREPARE and EXPOSURE_REQUEST. The output from the panel is EXPOSE_OK, which can
be used to trigger the generator. This active low signal is used to identify when the panel is ready
for exposure. The panel currently ignores PREPARE and responds only to EXPOSURE_REQUEST. The
exposure delay is defined as the worst case time between EXPOSURE_REQUEST and EXPOSE_OK.
Power supply. This connection provides power to the receptor. Connect the power supply connector to
receptor then plug into the main AC supply.
Gigabit Ethernet connection. Connect the Ethernet connector to a gigabit capable interface in the i5 Plat-
form for DR host computer.
Generator interface
The i5 Platform for DR digital interface board accommodates all generator interface input and output with
the Varian 4343R detector. No signals are necessary between the host x-ray system and the detector.
Input and output signals from the host x-ray must be DC voltages greater than 5 V and less than 28 V
when active.
The i5 Platform for DR generates the I/O signals that the Varian 4343R detector requires to synchronize
with the x-ray generator. The signals are V-PREP, V-REQ, and X-RAY_ENABLE. The signals pass through the
i5's digital I/O board to the detector via the DSub 9 connection of interface cable 739-097-G1.
Interface cable 739-097-G1 is illustrated on page 88. See Table 23 for a listing of the signal lines of the
4343R panel.
Figure 50 shows which signal lines are required and which are optional. Inputs have polarity. The input and
reference for each signal must be selected according to the active state polarity of the host x-ray system.
Side A signal Side A pin Wire color Side B pin Side B signal Side C label
N. O. 2 4 Black 1 V-PREP 1+ PREP +
Input 2 13 Red
Reference 2 31 Green
Input 7 18 Blue/black
Reference 7 36 Black/white
Input 3 14 Orange
Reference 3 32 Blue
Input 4 15 White/black
Reference 4 33 Red/black
N. O. 1 1 Green/black
Comm 1 2 Orange/black
Installation
1. Place the Varian 4343R detector near its final mounting position. For cable access purposes, do not
secure the detector in placed until and power and signal cables are connected.
2. Position and mount the Varian 4343R power supply. The power supply must be located within 6 cable
ft (2 m) of the detector.
3. Connect the 8-pin DIN DC power connector to the power connector of the detector.
4. Route the gigabit data cable (Varian-supplied) and the 9-pin DSub connector of the 723-097-G1 gener-
ator inter-face cable between the PC and the detector.
5. Connect the gigabit serial cable to the Varian RJ-45 serial data connector and the RJ-45 NIC 1 con-
nector of the PC.
6. Connect the 9-pin DSub connector of the 739-097-G1 generator interface cable to the 9-pin DSub
SYNC connector of the detector.
7. Connect the 37-pin DSub connector of the 739-097-G1 generator interface cable to the digital I/O con-
nector on the PC.
8. Mount the detector to its positioning device. Consult the Varian 4343R installation documents for
mechanical mounting details.
9. Connect the Varian power supply to the AC outlet of the isolation transformer.
Configuration
Follow these steps to configure the Varian 4343R for the i5 Platform for DR:
Before you configure the
1. Enter Service Mode (see “Part 2. Configure i5 System” on page 97). Varian 4343R panel with the
i5 Platform for DR, install
2. Select the Config option from the top of the Service Mode menu.
the software for the panel
3. The configuration dialog window opens (see Figure 55 on page 102). from the Varian-supplied
installation DVD.
4. Select the Panel Configuration from options in the listing on the left.
5. In the right pane of the configuration window, click the Add button, and
select the Varian 4343R panel. Table 24 lists configuration parameters for the panel.
6. When the Directory Selection dialog window pops up, select the directory that the panel was installed
to (C:\IMAGERs\[PanelSerialNumber]).
7. You may rename the panel if you wish.
After configuration, touch or click the Verify Settings button to see if communication has been established.
The i5 Platform for DR responds with a pop-up window that (a) confirms successful communication or (b)
notes that communication did not take place.
Calibration
The panel permits detector corrections for Varian offset, InfiMed gain, and InfiMed defect. For specific cali-
bration functions, follow on-screen prompts with the i5 Platform for DR. Several images are acquired in the
calibration procedure.
Note: If your x-ray generator is integrated with i5, an icon showing that connection appears in the
lower-right of the gain calibration window (see Figure 52). With an integrated generator, you may
select this icon to bring up the generator interface. You may then adjust the x-ray techniques.
1. Begin at Service Mode for the i5 Platform for DR. Select Calib.
2. In the new window (Figure 52, left), select Gain.
3. Follow the on-screen instruction to set SID, collimator, and filter.
4. Click the Play button. The progress of the calibration displays in the middle-right of the calibration win-
dow (Figure 52, right). Note the newly updated instructions in the middle pane of the window.
5. When the panel says to provide a specific kV/mA (Figure 52, right), set the suggested values on the
generator.
6. Expose the panel. If the exposure meets the required criteria, the panel’s next requested exposure set-
ting (kV/mA) is displayed.
7. Set those values, and expose. If the exposure was too high or low, the i5 Platform for DR tells you to
modify the exposure up or down.
8. Repeat exposure and adjustment until you get the next exposure setting.
9. Repeat until all images have been taken.
10. If all proceeds well, wait for the pop-up indicating a successful calibration.
You may review the history of calibrations performed; select History in Figure 52. The parameters reported
in the history are start and end dates, user name, date performed, calibration test type (panel gain, InfiMed
gain, and so forth), and results (pass, fail, cancelled).
FIGURE 52. Varian gain calibration: Left: Before, Right: During calibration
Preventive maintenance
The panel does not need to be sterilized, because it does not come in contact with the patient. Use a dry
soft cloth to clean the detector housing. Be sure to take precautions to manage electrostatic discharges
(ESD). Note that the detector is not watertight.
From the Service Mode menu select Config, the first of the twelve buttons, to begin to customize i5 Plat-
form for the clinical site and technologists. A new window opens (Figure 54), and this window presents
several aspects of i5 Platform that may be customized for a site. The items are grouped by:
• System configuration
• Patient data
• Restore points.
The menu groups in the left pane may be collapsed. Click on the ^.
As you configure the Application, you have several choices of accepting or rejecting the selections that
were made. The row of icons along the bottom of the screen mean, respectively, (a) return to factory
defaults, (b) back up configuration information including to removable media, and (c) restore configuration
information.
When you have completed making changes, you may record them (click or touch the floppy-disc icon) or
cancel the changes (square icon with white X).
Site info
See Figure 54. Site information is set at the InfiMed factory. You may change only:
• Site name
• Site address
• Tech support phone number.
The remaining fields, notably the serial number, are set by the manufacturer and should not be
altered.Injector control (DSA systems only). Status of Injector feature in i5. When enabled and
interfaced, i5 can activate an injector at a selected frame in a sequence by closing the injector
sync relay. See injector documentation for interface connections for injector sync.
System options
When the service technician configures the System Options for i5 Platform, he or she considers the work
flow at the particular site. The equipment and habits of RTs at the site determine how the System Options
are configured. To begin, select System Options from the main Service Mode menu.
Auto send: enable / disable. If enabled, each image acquired will be sent to archive when the patient's
session is closed. This feature cannot be enabled if no DICOM storage is available.
Log off service technician on exit. When set to True, the Application logs off the service technician when
he or she closes i5 Platform. Otherwise, if False, the service technician has access to the Win-
dows desktop on exit.
Log reject reason. When this option is set to True, the technologist acquiring images must specify a rea-
son each time he or she rejects an image, including images that are first rejected then later
accepted. These reasons are collected in a log that the operator, superuser, and service techni-
cian may review in the Service Mode. (See “Logs & Records” on page 135 for more on these logs.)
Touch screen keyboard. In some clinical settings, it is handy to permit all input to i5 Platform through the
touch screen. If the site's configuration has the appropriate touch screen hardware, an on-screen
touch keyboard can be used. When enabled, the on-screen touch keyboard appears at the bottom
of the monitor whenever a dialog opens that requires user input, a Patient's name, for instance.
Technologist initials prompt: disabled / on open patient. If set to On Open Patient, the technologist is
required to enter his or her initials before opening a patient's file. The initials mark the activity log
named AuditLog.txt to document the users of i5 Platform. Technologists select their initials from a
listing. this listing is created in Clinical Mode. (See the Operator's Manual for details.)
Auto delete: never auto delete / 50 / 75 / 90. This feature controls if and when patient files are automati-
cally deleted from the hard drive storage of i5 computer. In most clinics, patient records are main-
tained on the PACS system and not on an application computer such as the one that runs i5
Platform.
If the selection is Never Auto Delete, patient files will never automatically be deleted from i5 com-
puter. The technologist will have to delete them manually as desired.
The patient's files can also be designated for auto-deletion when the hard drive of i5 Platform's
computer reaches 50, 75, or 90% of its capacity. How does this work? Say, the threshold of 50% is
selected. Once the PC's hard disc reaches 51% of capacity, it deletes the oldest patient record(s)
until the disc's capacity is again at or under the 50% threshold. The deletion of files continues in
the background to keep the hard disc's storage where specified.
I/O card. Select the correct input/output card that i5 Platform uses to communicate with an integrated gen-
erator.
Auto advance. Auto advance refers to the individual work items in a work procedure, when a technologist
is acquiring images for a patient's exam. When set to True, i5 Platform moves ahead to the next
work item (of the work procedure) as soon as the current image is accepted. If auto advance is
False, the technologist must select the next work item after accepting the current work item's
image.
Auto logout time out & screen saver wait time. Both of these features can aid a clinic's efforts to keep
information confidential. i5 Platform can be set up to logout the technologist after a given time
period once a patient's record is closed; that is, the amount of time that elapses after the last
patient was closed. Choose any number of minutes between 1 and 30. Use the up and down
arrows to change the time period, or use the slider control beneath the number.
The same can be done for activation of i5's screen saver. The screen saver will then activate after
the selected number of minutes after the technologist's last input to i5 Platform.
To disable either or both features, place an X in the box to the right of the up arrows.
Panel configuration
Several x-ray panels may be used with i5 Platform. The panels may be added and removed as convenient.
To do so, use the Panel Configuration function (Figure 55).
The top pane of the Panel Configuration window displays the panels that have successfully been config-
ured to work with i5 Platform. The fields that you see in the right-lower pane depend on the options that
you have purchased with i5 Platform.
To add a panel, touch or click the Add… button below the list of panels (Figure 55, right-top pane). This
button opens a list of files on i5 Platform's PC. Select the correct new panel.
To remove a panel, highlight the row with the panel's information (Figure 55, right-top pane), and then
touch or click Remove Panel. (Note that this choice is not available in Figure 55, and it is grayed-out.)
Once the parameters describing the panel have been entered, touch or click Configure Panel for the con-
figuration window. The window that you see depends on the panel that is attached to your i5 Platform. Fol-
low the on-screen prompts to complete the configuration of your panel.
Verify settings
After configuration, touch or click the Verify Settings button (Figure 55) to see if communication has been
established. i5 Platform responds with a pop-up window that (a) confirms successful communication or (b)
notes that communication did not take place.
Patient data
Patient data applies to the individual who is imaged. Select this option, and i5 Platform displays the fields
available for record keeping for patient data. Along side each field is a drop-down menu that provides the
following options: (a) required, (b) used, and (c) not used.
Series data
To define the data that apply to the images for a particular patient, select Series data just below Patient
data.The fields available in series data are description, position, laterality, and body part examined. The
drop-down menu for each of these options allows the choice between (a) used and (b) not used. None of
these fields may be required.
Study data
To define the data that apply to the imaging examination for a patient, select Study data. The study may be
described with the following fields: referring physician, performing physician, accession #, performed pro-
cedure step ID, requested procedure ID, scheduled procedure step ID, and patient sex. Your choice for
each of these fields is (a) required, (b) used, and (c) not used. (The list of physicians is created in Clinical
Mode. See the Operator's Manual for details.)
One of these fields will be used in the Clinical Mode’s work procedures. See the Operator’s Manual for
details.
Restore points
The configuration information for the i5 Platform for DR is critical to its proper functioning. Therefore, i5
provides the facility both to backup and to restore configuration information. Use the Restore points option
(Figure 56).
Restore data
If a configuration is found to be unsatisfactory, and you wish to return to a configuration from an earlier
date, you may select the date from which the data will be restored. You may also select the sets of data
that should be restored. Choices are system configuration (site info, system options) and patient data
(patient, series, and study data). Note: This function does not include panel configuration.
Rather than use data from configurations that the Service Technician has made for your site,
you may choose to return to the factory-default settings. To do so, select the factory building
icon at the bottom of the window (Figure 57).
1. Select the range of dates for which you wish to evaluate changes in the configuration. For example, i5
may have been in operation for 6 months, but the unsatisfactory changes in the configuration may
have taken place within only the last week. Use the calendar icons on the top of the restore points
screen, then, to select dates encompassing only the last week.
2. Next, i5 Platform lists each time the configuration was changed during the last week — or whatever
time frame you choose, noting the user, date, and time. If changes had been made many times, you
may need to scroll through the list.
3. From among these items, select the time at which the configuration was satisfactory. See highlighted
item in Figure 56.
4. Touch or click Restore Data in the upper-right of the Restore points screen. A small window opens, and
you click the data you wish restored. In that same window you may specify where the data is to be
drawn from for the restoration.
5. Confirm you choice, and the configuration from that time is restored — writing over the previous config-
uration data.
Backup data
Use this same window to backup configuration data. Select the Backup icon. A new window
pops up on the screen where you specify which data you wish to backup. You also specify the
location where the data are to be backed up.
Select Generator Interface on the Service Mode menu (Figure 53 on page 97). You may then (a) add new
x-ray tubes or workstations and (b) configure the generator connection and default settings. Note: It is crit-
ical that the configuration and options of the settings established here in the Service Mode of i5 Platform
for DR match exactly the configuration of the host x-ray system.
FIGURE 58. Generator interface
When configuring the generator, set the view for the default patient dose, the default somatotype, and the
communication settings. See Figure 59.
Dose
Select the type that the generator supports. AKR/CAK displays the dose as Air Kerma (kinetic energy
released in material) Rate and Cumulative Air Kerma.
DAP/ADAP displays the dose as Dose Area Product (image data) and Cumulative Dose (Study data).
Set the somatotype according to the clinic's preference. This is the default that will be used by the Acquisi-
tion Profile Generator APR.
Set the communication parameters between i5 Platform for DR and the integrated generator. These values
depend on the capabilities of the generator.
i5 Platform can communicate with DICOM devices on site or at remote locations. To begin configuring
DICOM devices, touch or click DICOM on the service menu (Figure 53 on page 97). This selection raises the
DICOM Device Configuration screen (Figure 60).
FIGURE 60. Add DICOM devices
• Devices
• AE titles
• General configuration.
To save or cancel the changes, Touch or click the icons in the lower-right of the screen
DICOM devices
The first page of the DICOM configuration screen lists the devices already configured with i5 Platform, and it
permits the addition or deletion of DICOM devices (Figure 60). The PC's DVD writer will have been config-
ured at the factory and appears on the list. You may choose to have the disc ejected or not upon comple-
tion of writing (see X in box, Figure 60). This device cannot be deleted from the list of DICOM devices, but it
may be disabled and thus rendered unusable.
To add a device, click the Add button in the lower left. It shows a drop-down menu from which you select
the type of device you wish to add: storage, printer, Worklist, or MPPS. Table 26 shows the maximum num-
ber of devices of each type that may be added.
Table 27 lists the characters that may be used in the configuration, including names of DICOM devices.
TABLE 27. Acceptable characters for configuration
Default devices
If you set up multiple printers, storage devices, or worklists, you may specify which one of them is the
default. If only one device is configured, the button that permits designation of a default is grayed out. A
check mark before the device's name indicates that it has been designated as the default in each category.
Common fields
Name. Your choice. The technologists will see this name in Clinical Mode when they select a device.
AE title. (AE means application entity. Labels are case-sensitive.) The name of the remote device as used
at the site. Ask site IT or PACS staff for this name.
Local AE title. (Labels are case-sensitive.) Local AE titles are summarized with the AE page of the DICOM
configuration (see Figure 60, top), and the data for this field comes from what you specify on that
page. Name these titles as you wish with input from the local staff. This field is read-only and for
reference.
IP address. Network address of the device. Ask local staff for this information.
Description. Free-form portrayal of the device such as functions or location. Use up to 255 characters.
As you configure the devices, you may test their network connections with ping and echo functions that i5
Platform supplies with the configuration dialog screens. Ping validates basic network connectivity between
i5 Platform and the DICOM device. Echo verifies both network connectivity and DICOM communication.
Storage devices
Configuring a storage device requires you (a) to enable or disable storage commit and (b) to set the time
out for storage commit. (A storage commit port of 2400 is also noted, but it is read-only here; edit it through
the General Configuration tab. See “General configuration” on page 114. The port number is listed on the
configuration screen here just so you can communicate it to site personnel.)
Storage commit is an additional verification that data has been archived to the network. When enabled, i5
Platform specifically requests confirmation from the storage device that it has received the transferred
images and that it has committed them to long-term storage. The requests and confirmations are invisible
to the operator.
Both the device and i5 Platform must be configured the same; that is, if enabled on the storage device, it
must be enabled on i5, and vice versa. Site personnel should indicate how they wish storage commit to be
set up.
Time out specifies the length of time, in seconds, that i5 Platform will wait for a commitment response dur-
ing a storage commit operation.
Printers
For each printer, where the printer supports the feature, you specify several printer properties (see
Table 28): film sizes available; whether the border of the image is printed in black or white; the minimum
and maximum density of the shades of gray in the image; the print layouts supported (though 1 x 1 cannot
be disabled); whether the film is portrait or landscape; how data for magnification is handled; how empty
space is printed when, for example, a 4 x 4 image format has only three images black or white; and
whether trim (the area of the paper the printer can-not reach) is enabled or not.
MPPS
Information about just-completed imaging tasks can be sent to an MPPS server (modality performed pro-
cedure step). When configuring MPPS, specify if the patient whose information is sent are (a) just those
from the work-list or (b) include all patients (worklist, emergency, manually added).
AE titles
Use this screen to specify the local DICOM identifying information for the use of i5 Platform. The names
entered in these spaces must match exactly the names on the remote client device. Each field may be up
to 16 characters, and no fields may remain blank. The values shown in Figure 61 are those that ship with
i5 Platform. If no DICOM printer has been configured, you may leave the value as-is.
General configuration
Time outs. Specify the time, in seconds, that may elapse during DICOM communication operations before
the operation is considered to have failed. Work with local IT personnel so that these time out
parameters suit the local network's traffic loads.
Additionally, the storage commit port may be edited here.
Network & media export option. Choose the default setting that the technologist will see whether annota-
tions made on an image are exported as part of the image (embedded) or not when exporting
images. When a technologist chooses to export images, he or she may elect to use the default set-
ting or to change it.
Worklist modalities. When the technologist makes a worklist query to search for patients who meet spe-
cific criteria only those with the modalities checked here will be included in the search. Patients
with other modalities will be ignored.
Worklist specific configuration. Specify which field will be used to match a site-specific procedure with
an existing procedure. The criterion of choice depends on the site’s worklist. The choices, in a
drop-down menu, are:
(a) scheduled procedure description
(b) requested procedure description
(c) requested procedure ID
(d) scheduled protocol code value.
This field is critical to enabling use of work procedures on i5 Platform. See also “Patient, series, &
study data” on page 102.
Auto [worklist] refresh. i5 updates the system’s query of the worklist each time the Operator changes a
query parameter when this feature is True (enabled). The Operator must manually select refresh
to update the query if this feature is False (disabled).
When you configure i5 Platform for a specific clinical site, you may alter the acquisition profiles and the
work procedures that InfiMed has loaded in the application.
Positions. An acquisition profile sets up specific radiography parameters, including processing and —
when integrated — generator techniques, that are applied to obtain an x-ray image of a part of the
human body in a specific position. These already-programmed acquisition profiles can speed a
technologist's work, but if the settings do not suit a particular clinical site, the service technician
may alter them in Service Mode.
Work procedures. i5 Platform has a sequence of images (work items) that comprise a work procedure. By
invoking a work procedure, the technologist can efficiently obtain the necessary images for a
patient's visit. The service technician can configure work procedures in Service Mode. The work
procedure can be matched with a specified worklist data field; thus, when the patient is imported
from a worklist, the necessary imaging positions are specified also.
This chapter discusses (a) image acquisition profiles, (b) stipulation of work procedures, and (c) importing
or exporting acquisition profiles or work procedures.
To configure the image acquisition profiles and work procedures, begin at the main Service Mode menu,
and touch or click Acq Profiles. A new window opens that permits you to alter parameters for imaging posi-
tions and work procedures (Figure 62).
Positions
Choose the Positions tab to review or edit image acquisition specifications for exam positions (Figure 62).
The left pane of this window provides navigation to the positions that would be used in a clinic. The plus
sign before each body region and exam indicates that detailed information is nested beneath the item. A
default region has been designated. (At first, when the system leaves the factory, it is None.) Within each
region, a default body part has been designated. Defaults are indicated with a check mark.
The original (factory-set) default region (None) is used when the technologist selects no profile and when
no profile is matched to a worklist query. This profile is also used when positions are configured to Use the
Default Imaging Profile; see white box in the right pane of Figure 62, upper-left; it is checked in this image.
To change the default, select region, exam, or position in the left pane, and touch or click Set Default Posi-
tion in the upper right of the right pane. If the position has already been designated as the default, this but-
ton is grayed-out.
At each level of the hierarchy (Region > Exam > Position), only one item may be designated as the default.
To learn the default exam or position under a specific region, touch or click on the plus sign by the region
and expand the list under the region (as Upper extremities > Forearm bone > Posterior has been
expanded in Figure 62). Expand the exam to learn the default exam, as with Shoulder in the figure, and the
default position, as with Posterior in the figure.
Import acquisition profiles from disc or from a USB drive. The imported file must be a specially-
crafted spreadsheet. Contact InfiMed for assistance, especially at the planning stage (+1 315-
453-4553).
Export acquisition profiles to disc or to a USB drive — for backup or to migrate to another i5
Platform computer.
Touch or click the buttons at the bottom of the left pane (Figure 62) to add, edit, or delete a region, exam,
or position. When adding, the new item is placed in the navigation tree, and you define the new item in the
dialog box at the top of the right pane. The new item is simultaneously defined in the left-side navigation
tree as you enter the item in the right-side dialog box.
The first new position added to an exam is denoted as the default; if you add additional positions, you may
re-assign the default. When you add a new position, but not when you add a new region or exam, i5 Plat-
form asks you to specify the settings of the acquisition profile. The settings apply only to positions.
When you copy a region, exam, or position, i5 Platform appends (Copy) to the name of the region, exam,
or position — depending on the level of the hierarchy at which you make the copy. If you copy a region, the
exam(s) and position(s) of that region are also copied, yet only the name of
the region will have the designation (Copy) appended to it.
Image profiles
You may then rename the copied item(s). When you copy a position, the copy can be modi-
will have the same settings as the original position. You may subsequently fied in Clinical
modify the settings as you wish Mode during
acquisition of
images. The modifications
are in effect until the current
You may delete unneeded regions, exams, or positions; however, a default patient is closed.
item cannot be deleted. To delete the default item, first re-assign the default;
then, delete the original item. For example, to delete the default Posterior
position under the Forearm Bone exam, first assign another position (for example, Lateral) as the default
position for that exam, and then delete Posterior.
i5i5i5i5
Parameter Explanation
Default AIE level Off, low, medium, high
ADi (auto-density) Specify a look-up table
Low Low contrast
Medium Medium contrast
High High contrast
Laterality Left, right, both
If the x-ray generator is integrated with i5 Platform, you may modify the generator's settings that will be
used with each imaging position. APR is configured for the following three levels:
(a) region
(b) exam
(c) position.
The workstation's icon (DR in Figure 63) indicates the workstation that is affected by the APR configura-
tion. You may select other integrated workstations. They will be listed below the current workstation's icon
where, in the center of Figure 63, you see New Workstation or New X-ray Tube.
Expand the APR settings by touching or clicking the V adjacent to the box and phrase Use Default APR. i5
Platform shows the APR parameters that may be set if the box next to Use Default APR is not selected.
When the box is selected, as in Figure 63, none of the parameters may be changed because the default
settings are applied.
Just as with the AIE settings, the APR settings apply to each position. To modify APR settings, first select
the position of interest from the listing in the left pane. Next, specify generator APR parameters for each
somatotype for that position. When you override the default settings for the current acquisition profile or
work item, the items are highlighted such that they appear yellow on color monitors.When a new acquisi-
tion profile has been created:
Radiography options
Set the radiography parameters for the selected position (Figure 63). Set kV,
mA, and mAs as permitted by the generator. Next, select the initial technique
that the generator will use to acquire an image for the position of interest; use the
button that defaults at mA/ms to select that as the default; alternatively, select
mAs or AEC. Use the adjacent button to select the focal spot as small or large.
• At the setting mA/ms, you may alter the settings for kV, mA and ms.
• For mAs, you may alter kV and mAs.
• For AEC, you have additional settings. See Figure 64. The additional settings are Density, Fields,
and Film Screen. The generator determines AEC density. Match density to the detector's capabil-
ity.
• For AEC field, select left, center, or right. In Figure 64, the right field is selected.
• Touch or click repeatedly the bar graph icon on the right to select the Film Screen. One bar means
slow; two means medium, and three means fast.
FIGURE 64. Acquisition profiles & AEC options
Work procedures
Work procedures put related patient imaging positions (work items) in a defined sequence. i5 Platform
uses this sequence of positions to set image processing parameters as a patient's exam progresses. See
Figure 65.
The work procedure in i5 Platform can be given a DICOM code and matched with a specific worklist field,
thus organizing the requested positions when the patient's file is imported from the worklist. (In this way i5
Platform advances Integrating the Healthcare Enterprise [IHE] to promote efficiency. See appendix for more
on InfiMed and IHE.)
InfiMed usually uses data from the Pre-installation Site Survey to configure the work procedures. There-
fore, configuration of the work procedures is not necessary during installation. If, however, i5 Platform has
not already been configured, the instructions below show how to do so manually. (Work procedures can
also be imported and exported.)
The work procedures window [Figure 65 has three panes: existing work procedures (left), work items
(right-top), and available positions (right-bottom)]. Touch or click Add in the lower left of the left pane to cre-
ate a new work procedure. In the upper right pane, modify the name of the work procedure, and, if you
wish to integrate it with a worklist, give it a valid DICOM code.
Next, select a position with its accompanying acquisition profile from the right-bottom pane, and add it by
touching or clicking the arrow indicated in Figure 65. Add as many positions as necessary to comprise the
new work procedure. Reorder the positions, if needed, with the arrows on the right side of the right-top
pane. the following is an example general outline of a work procedure:
Work procedure:
- Position
Touch or click a procedure in the left pane (Figure 65). This procedure and its associated DICOM code (if
used) appear in the fields at the top of the right-top pane.
Just as with creating a work procedure, modify the work procedure by adding or removing positions and
their associated acquisition profiles, and reorder them in the sequence as necessary.
Different privileges can be allocated to specific users of i5 Platform depending on the user's role. When
creating accounts for users, assign membership to one of the following three groups:
• Operator
• Superuser
• Service technician.
Operators have the least amount of latitude in using the system; superusers have more, and service tech-
nicians have full access. Both superusers and service technicians may assign users to i5 Platform.
The assigned users may sign-on i5 Platform and operate it. These users need not be actual individuals but
may be aliases for people or an alias used by several people.
To open the Users dialog window from the Service Mode main menu (See “Part 2. Configure i5 System” on
page 97.), click on Users. The users dialog window (Figure 66) shows assigned users and their assigned
groups in the left pane. View the names or aliases or individuals listed under each group by clicking on the
up and down arrow characters ( ^ and v ) next to each group name. To expand the list, click the down
arrow. To collapse the list, click the up arrow.
To add or remove a user, click the appropriate icon in the lower part of the left
pane. When you select the add icon, the right pane changes to permit you to Add user
add a new username and password and, with a drop-down menu, to assign
the new user to a group.
Delete user
Change user’s
password
Privileges of users
All users may operate i5 Platform in Clinical Mode. In Service Mode, however, privileges are restricted.
Operators have access only to the Log function, user preferences (language and location of interface Main
Menu), image processing, and test pattern diagnostics. Superusers have access to those same functions
plus:
• DICOM
• Acq Profiles
• Users.
i5 Platform for DR supports panel calibration, but the types and pro-
cesses of calibration depend on the panel that is connected to your i5
Initiate calibration
Platform for DR. See the earlier chapter with specific information
about your detector.
i5 Platform for DR also maintains records of each calibration per- Pause calibration
formed. (available for some
detectors)
To implement calibration, touch or click Calib on the Service Mode
menu (Figure 53 on page 97). The new window that opens has interrupt or cancel cali-
bration
options for calibration functions supported by your panel.
Figure 67 shows the appearance of a typical calibration window of i5
Platform for DR when performing gain calibration.
Calibration history
The History option in Calib of Service Mode displays a record of each calibration that was performed. To
view the history, select the time frame of interest; use the calendar icons to set the start date and end date.
For each calibration, the history lists the user name, date performed, type of test and name of calibration
along with the result of the test.
As an aid to troubleshooting, i5 Platform provides diagnostic tests that address the detector, data collec-
tion, the generator (if integrated), raw image storage, and serial port communications. To begin, click Diag
on the Service Mode menu (See “Part 2. Configure i5 System” on page 97.).
The initial diagnostics window shows the range of tests in the left pane (Figure 68). The right-lower pane
displays a log of the progress of each diagnostic test performed. These diagnostic logs may be saved, and
they may be later reviewed by means of the Logs option of the Service Mode menu.
FIGURE 68. Initial diagnostics screen
Data to save:
Detector
-- System info
Each detector has an individual diagnostic tests. To perform the tests, -- Error & diagnostic logs
touch or click Detector (Figure 68), and follow the instructions in the new -- HIPAA logs
-- Configuration settings
window.
-- Acquisition profiles
Data collection
i5 Platform can collect data for backup and for record keeping (see box). You may select which of these
items to have i5 Platform record. This feature is useful if you wish assistance from InfiMed in examining
data issues with i5 Platform.
Select the data to be collected by touching or clicking the box next to each category (see Figure 68). An X
in the box indicates that i5 Platform will indeed collect data for that category.
Browse to choose where the collected data should be stored.
Select Collect Data in the upper-right of the right-top pane. The task pane (right-bottom) displays progress.
The data are collected in a zipped file. The same data that you observe in the task pane (right-bottom)
comprises the contents of this file.
Generator
If the generator is integrated with i5 Platform, you may test the generator here (Figure 70). Insert a com-
mand in the appropriate location in the right-top pane, and press Send Data.
The task pane, right-bottom, shows the effect of the generator test.
The service technician can arrange to acquire this raw image data. Note that this dialog asks the service
technician to specify where to store the raw image data. The data can then be downloaded sent to InfiMed
for analysis.
Serial ports
Use this diagnostic tool to test the serial ports that i5 Platform uses to communicate with peripherals,
including an integrated generator. This diagnostic test is a simple send-receive utility.
If the loop back test is to be examined, a loop-back terminator is required. (The loop-back terminator is a
simple dongle that is a serial port with wires circling back on themselves. Therefore, a signal is sent to the
serial port, and that signal loops around and is received by the serial port.
As with the other diagnostics, you may save the log of this test.
i5 Platform permits the user access to several Microsoft Windows XP (the operating system) functions and
a convenient way to view i5’s own help files.
Except to view the manuals, most users of i5 system will have little reason to use the utilities because they
are most important for setting up the computer itself — unrelated to the I5 Platform. For that reason, the
service technician generally is the only individual who should use the utilities.
FIGURE 72. Utilities & help menu
To access i5 Platform utilities, click on the Utilities button at the lower-left of the Service Mode menu (See
“Part 2. Configure i5 System” on page 97.). The new window has two parts: Utilities and Manuals (see
Figure 72). Table 30 lists the utilities that are illustrated in Figure 72 for i5 Platform.
Notepad. Windows' Notepad is a simple text-based editor. Use it both to create unformatted text files, such
as to modify XML files, and to read text files such as logs.
Date & time. Set the time and date and the formats for display of time and date with this function. If the
computer hosting i5 Platform is connected to the Internet, the computer can be made to synchro-
nize its time with Windows Internet time.
Clear site key. The site key maintains registration information about i5 software. If the software is
upgraded and the site key needs to be changed, use this utility. Note: Removing the site key ren-
ders i5 Platform inoperable. Have a new site key on hand before using this utility.
Regional & language options. i5 Platform is used around the world, and the computers that run it are set
up for the specific location of use. Use this utility to establish the country of use and the language.
Further, set preferences here for the formats of numerals, currency, and dates. The input device
used for the language - generally a keyboard - is also specified here.
Explorer. Use this option to view all the files on this computer including such folders as My Documents.
You can also view files throughout the network, if any. Desktop icons and shortcuts as well as the
recycle bin are available through this utility.
Command prompt. Use this utility for terminal functions. It opens a window with a command prompt from
the Windows' disk operating system (DOS) emulator. You can also view disk drives, folders, and
files.
Keyboard. Use this utility for access to the Windows' Control Panel feature for the computer's keyboard.
Set input preferences, cursor blink rate, keyboard hardware, and keyboard troubleshooting.
Network connection. Access network drives and network troubleshooting with this utility. It permits new
connections, network setup, and changes to the Windows firewall. It also gives access to the Con-
trol Panel, My Network Places, My Documents, and My Computer.
System properties. Information about the computer running i5 Platform is available through this utility.
Use it to learn the version of Windows, registration, computer type, and computer name - used for
the identifier on the network. It permits access to hardware through the device manager, to the
drives and Windows update, and to the hardware profile. It also provides access to the computer's
performance parameters, the user profile, startup and recovery parameters, the computer's envi-
ronment, and the parameters used to restore the system, handling of Windows system updates,
and remote access.
i5 Platform compiles and stores data to supply information on its operation. Data generated both about i5
system itself as well as the application of the system with patients.
FIGURE 73. Logs of i5 Platform
To view i5 Platform logs, click Logs on the Service Mode menu (). A new window opens, and the left pane
of that new window (Figure 73) shows the following logs:
Event Logs (InfiView®, Security). The InfiView® report compiles errors at i5 application level. The Secu-
rity report records the identities of those who login to i5 application.
Reject log. This log file keeps a record of the images that were rejected. See “System options” on
page 100 for information on how this item is configured for a site.
.log files (Crash.log and Diagnostics.log). The Diagnostics.log is created when a service technician
requests such a report on the system's functions.
.txt files (AuditLog.txt). The Auditlog.txt report records the application of i5 system such as when
i5 Platform was started and ended. It also records the initials of the technologists who login and
logout when such actions are required. i5
The view of the name of the specific logs available under the four classifications may be collapsed or
expanded using the up and down arrow characters ( ^ and v ) next to each group name.
i5 Platform for DR offers excellent image processing tools. InfiMed, the manufacturer, has specified x-ray
image processing for multiple region-exam-position combinations, and these settings are programmed into
i5 Platform for DR. You may, however, modify these settings to suit your needs. This manual has already
discussed the way to modify these settings through the configuration options (see page 99). This chapter
explains a visual option.
FIGURE 74. Service Mode menu, lower menu choices (cutaway image)
Begin with the three-item accordion menu in the lower part of the Service Mode menu
(Figure 74). Touch or click Image Processing, and the menu opens to reveal the three circles of
the image-processing icon. Select this icon, and a new window opens.
This new window (Figure 75) permits you to review an image and process it simultaneously.
In modifying the image processing, you are selecting new profiles for specific region-exam-position combi-
nation. The same process is used when the image profiles are altered through configuration. Here, the pro-
file is altered by sight using your judgment. You may alter the following image qualities (Table 31):
TABLE 31. AIE parameters
Parameter Explanation
Default AIE level Off, low, medium, high
ADi (auto-density) Specify a look-up table
Low Low contrast
Medium Medium contrast
High High contrast
Laterality Left, right, both
The current image profile settings are displayed in the left pane. You select new image profile settings in
the right pane. As you see in Figure 75, an image with more contrast and less brightness was selected.
Touch or click the magic wand icon, and a new window opens that permits you to adjust the
image enhancement settings. Make your selections. Save this new profile when it is acceptable.
Use the buttons on the bottom of the Image Profile window thus:
Required. InfiMed requires submission of this Installation Report including Acceptance Testing results
within 30 days of first clinical use of the i5 Platform for DR system. Contact InfiMed Customer Care at +1
315-453-4553 with questions. Thank you.
Service Technician: Complete this form to document your installation of the InfiMed i5 Platform for DR
system. Return this form to InfiMed (121 Metropolitan Dr., Liverpool, NY 13088 USA) within 30 days of
installation. Enter NA if an item is not applicable.
Street Street
Phone Phone
Email Email
Signed Date
Room configuration
Bucky replaced? ___Yes ___No _____ Chest stand _____ Table
High resolution monitor type Make Model
Control station in: _____ Exam area _____ Control area
Are all interface cables clearly labeled? _____ Yes _____ No
Distance from i5 tower PC to patient area _____
Modem telephone number (if any)
Detector setup
Detector manufacturer & model Wireless _____ Yes _____ No
Mfr & model of second panel, if any: Wireless _____ Yes _____ No
X-ray generator
Installation notes
Comments